Courtney Paige Hickson, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

105729 Issued in IA

Practice address

439 Wilson St
Miles, IA 52064-4404

Phone

(563) 249-8007

NPI assigned

Feb 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IA

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.

• Become PLLC

  • Mental Health Counselor
  • Maquoketa, IA
  • NPI 1952109910
  NPD Authorized official
• New Moon Counseling PLLC

  • Mental Health Counselor
  • Clinton, IA
  • NPI 1821956863
  NPD Authorized official
• Life Connection, L.C.

  • Early Intervention Provider Agency
  • Cedar Rapids, IA
  • NPI 1538300892

  IA

  Medicare reassignment

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

{
    "created_epoch": "1613260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613260800000",
    "number": "1245823913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 N 2ND ST STE B",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527323750",
            "telephone_number": "319-409-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 WILSON ST",
            "city": "MILES",
            "state": "IA",
            "postal_code": "520644404",
            "telephone_number": "563-249-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKSON",
        "first_name": "COURTNEY",
        "middle_name": "PAIGE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-14",
        "last_updated": "2021-02-14",
        "certification_date": "2021-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "105729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://lifeconnections.kasa-solutions.com/index.php",
            "affiliation": "N",
            "endpointDescription": "EHR System - Kasa Practice Solutions",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "215 4th Ave SE",
            "city": "Cedar Rapids",
            "state": "IA",
            "country_code": "US",
            "postal_code": "524011844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.