Active NPI
Gwendolyn Rose Hickey
- Social Worker
- Chicago, IL
National Provider Identifier
1164192019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1025 W Sunnyside Ave Ste 201
Chicago, IL 60640-5684 - Phone
- (847) 284-4936
- NPI assigned
- Sep 14, 2021
- Last updated
- Sep 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
1025 W Sunnyside Ave Ste 201
Chicago, IL 60640-5684
Mailing address
1025 W Sunnyside Ave Ste 201
Chicago, IL 60640-5684
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | n/a | Chicago Women's Health Center |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gwendolyn Hickey LLC | Single Specialty | Current | Accepting new patients |
| Roamers Therapy LLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1164192019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 W SUNNYSIDE AVE STE 201",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606405684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 W SUNNYSIDE AVE STE 201",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606405684",
"telephone_number": "847-284-4936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKEY",
"first_name": "GWENDOLYN",
"middle_name": "ROSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-14",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "n/a",
"affiliation": "Y",
"affiliationName": "Chicago Women's Health Center",
"address_1": "1025 W Sunnyside Ave Ste 201",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606405684",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.