Kristen Hicks, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2102872 Issued in OH

Practice address

2125 Summit View Rd
Powell, OH 43065-8876

Phone

(937) 572-2649

NPI assigned

Jun 16, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1205404191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 SUMMIT VIEW RD",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658876",
            "telephone_number": "937-572-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 SUMMIT VIEW RD",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658876",
            "telephone_number": "937-572-2649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "KRISTEN",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2102872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO CSWMFT BOARD",
            "identifier": "I.2102872",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Powell",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2125 Summit View Rd",
            "city": "Powell",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430658876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patricia Heffner, LICDC-S
• David E. Henderson, M.D.
• Vicki Diane Herr, PT
• Minh Hess, HEALTH CARE PROVIDER
• Karen Hessler
• Steven K. Hoagland, DDS
• Marcia Elizabeth Hoepf, O.D.
• James A. Homon, DDS, MS
• Honor Care Services Ohio LLC Fka Honor Home Care Network Ohio LLC
• Hooked on Hearing, LLC

• Clinical Social Worker in Powell, OH
• Providers in Powell, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.

Verify at the official NPI Registry.