Active NPI
Shannon Hickey
- Social Worker
- Corning, NY
National Provider Identifier
1104703826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 087353
- Practice address
- 105 E 1St St
Corning, NY 14830-2710 - Phone
- (607) 205-8848
- NPI assigned
- Aug 18, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 087353 | NY | Primary |
Addresses
Primary practice location
105 E 1St St
Corning, NY 14830-2710
Mailing address
5125 Savona Campbell Rd
Campbell, NY 14821-9788
Phone (585) 363-1660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1104703826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5125 SAVONA CAMPBELL RD",
"city": "CAMPBELL",
"state": "NY",
"postal_code": "148219788",
"telephone_number": "585-363-1660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 E 1ST ST",
"city": "CORNING",
"state": "NY",
"postal_code": "148302710",
"telephone_number": "607-205-8848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKEY",
"first_name": "SHANNON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-18",
"last_updated": "2025-08-18",
"certification_date": "2025-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "087353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corning, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.