Amalie B Hickman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34006069A Issued in IN

Practice address

26491 Inverness Dr Ste 201
South Bend, IN 46628-9279

Phone

(219) 851-3500

NPI assigned

Nov 28, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Midwest Behavioral Health LLCGroup PAC ID 4587834874, 132 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Midwest Behavioral Health LLC

  • Psychiatry Physician
  • Evansville, IN
  • NPI 1427362201
  Medicare reassignment Care Compare group NPD
• Heart City Health Center, Inc.

  • Community Health Clinic/Center
  • Elkhart, IN
  • NPI 1720033418
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, IN

  Medicare reassignment NPD
• Thomas M Allen, PSYD, HSPP

  • Health Service Psychologist
  • La Porte, IN
  • NPI 1972592798
  Medicare reassignment
• Heart City Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Elkhart, IN
  • NPI 1861034688
  NPD

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1295917656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26491 INVERNESS DR STE 201",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466289279",
            "telephone_number": "219-851-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26491 INVERNESS DR STE 201",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466289279",
            "telephone_number": "219-851-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "AMALIE",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-28",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006069A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100163580",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Hetler, MS, CCC-SLP
• Justice Hewlett, RBT
• Madelyne M Heying
• Norman M Hezlep, RNFA
• Laura Hiatt
• Stephanie Nichole Hicks, MD
• Laura Myers Hieronymus, C.A.N.P.
• Linda Higginbotham, MD
• Jean Higginson, MA
• Brandon Lance Hillin

• Clinical Social Worker in South Bend, IN
• Providers in South Bend, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.