Active NPI
Jane Clayton Hickerson, PH.D, LCSW
- Clinical Social Worker
- Arlington, TX
National Provider Identifier
1295063345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 25536
- Practice address
- 1615 W Abram St
200-O
Arlington, TX 76013-1788 - Phone
- (817) 274-6002
- Fax
- (817) 274-6003
- NPI assigned
- Dec 1, 2009
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 25536 | TX | Primary |
Addresses
Primary practice location
1615 W Abram St
200-O
Arlington, TX 76013-1788
Mailing address
1615 W Abram St
200-O
Arlington, TX 76013-1788
Phone (817) 274-6002
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25536 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259625600000",
"number": "1295063345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 W ABRAM ST",
"address_2": "200-O",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760131788",
"telephone_number": "817-274-6002",
"fax_number": "817-274-6003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 W ABRAM ST",
"address_2": "200-O",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760131788",
"telephone_number": "817-274-6002",
"fax_number": "817-274-6003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKERSON",
"first_name": "JANE",
"middle_name": "CLAYTON",
"name_prefix": "Dr.",
"credential": "PH.D, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-01",
"last_updated": "2009-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "25536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.