James Tickal, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW17870 Issued in FL

Practice address

1555 N Maitland Ave
Maitland, FL 32751-3325

Phone

(407) 986-7831

NPI assigned

Dec 17, 2020

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jennifer Tickal, Psy.D., P.a.

  • Clinical Psychologist
  • Maitland, FL
  • NPI 1023477221
  NPD

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1093301608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 FOLIAGE OAK TER",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327667021",
            "telephone_number": "615-414-8294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 N MAITLAND AVE",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327513325",
            "telephone_number": "407-986-7831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TICKAL",
        "first_name": "JAMES",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-17",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cori Thompson, ARNP
• Rachel Rebecca Thoni
• Eshana Thornton, RBT
• Thriving Hands of Care LLC
• Elizabeth Tichenor, RMHCI
• Jennifer Tickal, PSY.D.
• Martina Timperi II
• Andrea Tisdale
• TLC Transporting LLC
• Esther Grizelda Toe-McPherson, NP

• Clinical Social Worker in Maitland, FL
• Providers in Maitland, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.