Individual provider Active NPI

Linda Nickerson Hicks, LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1194033266
Registry record updated Aug 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW016596 Issued in PA
Practice address
235 Alpha Dr Ste 101
Pittsburgh, PA 15238-2940
Phone
(877) 868-4827
Fax
(877) 283-0663
NPI assigned
Sep 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW016596 PA Primary

Addresses

Primary practice location

235 Alpha Dr Ste 101
Pittsburgh, PA 15238-2940

Mailing address

5430 NW 33Rd Ave
Suite 108
Ft Lauderdale, FL 33309-6349
Phone (877) 868-4827

Other practice location 1

500 Market St Ste 200B
Beaver, PA 15009-2998
Phone (724) 494-6750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20110221000560 PA Practitioner - Clinical Social Worker 5890976146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
JP Counseling and Associates, LLCGroup PAC ID 8022426709, 6 clinicians

Practice addresses (Care Compare)

701 Sharon Rd
Suite 2
Beaver, PA 15009-3147
Phone (724) 494-6750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
JP Counseling & Associates, LLC CurrentSince Mar 19, 2021 Accepting new patients
Francis C Harris Past Accepting new patients
Vitas Solutions Inc Past Accepting new patients

Locations

701 Sharon Rd
Ste 2
Beaver, PA 15009
Phone (724) 494-6750

500 Market St
Ste 200B
Beaver, PA 15009
Phone (724) 494-6750

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723939200000",
    "number": "1194033266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 NW 33RD AVE",
            "address_2": "SUITE 108",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333096349",
            "telephone_number": "877-868-4827",
            "fax_number": "877-283-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 ALPHA DR STE 101",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152382940",
            "telephone_number": "877-868-4827",
            "fax_number": "877-283-0663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Market St Ste 200B",
            "address_purpose": "LOCATION",
            "city": "Beaver",
            "state": "PA",
            "postal_code": "150092998",
            "country_code": "US",
            "telephone_number": "724-494-6750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKS",
        "first_name": "LINDA",
        "middle_name": "NICKERSON",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-22",
        "last_updated": "2024-08-18",
        "certification_date": "2024-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.