Philip A Hickey IV, MSW/LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05526800 Issued in NJ

Practice address

2100 Corlies Avenue
Suite 14
Neptune City, NJ 07753

Phone

(973) 619-2064

NPI assigned

Mar 29, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1083957955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 UNION ST",
            "address_2": "APT. B1",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423369",
            "telephone_number": "973-619-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CORLIES AVENUE",
            "address_2": "SUITE 14",
            "city": "NEPTUNE CITY",
            "state": "NJ",
            "postal_code": "07753",
            "telephone_number": "973-619-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "PHILIP",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "MSW/LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-29",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05526800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Halicki, APN
• Andrew N Hanna
• Ahmad Mohamed Hassan, MD
• Evan Joshua Hess, MD
• Sydney Hess, PA-C
• HMH Hospitals Corporation
• In Tune Collective, LLC
• Kristine Victoria Infante, LCSW
• Alexis Jagger, PA-C
• Jersey Shore Convalescent Center

• Clinical Social Worker in Neptune City, NJ
• Providers in Neptune City, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.