Individual provider Active NPI

Lauren E Hickson, LISW

  • Clinical Social Worker
  • Westerville, OH
National Provider Identifier
1376835538
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I 1100093 Issued in OH
Practice address
168 Dorchester SQ S
Westerville, OH 43081-7302
Phone
(614) 569-8205
Fax
(614) 567-2525
NPI assigned
May 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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 I 1100093 OH Primary

Addresses

Primary practice location

168 Dorchester SQ S
Westerville, OH 43081-7302

Mailing address

168 Dorchester SQ S
Westerville, OH 43081-7302
Phone (614) 569-8205

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

State licenses

LicenseStateTypeSpecialty
I 1100093OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Peggy a. Hemmer, Dba, Heart and Soul Counseling Clinical Past Accepting new patients

Organizations & group practices 1

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": "1304640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1376835538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 DORCHESTER SQ S",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430817302",
            "telephone_number": "614-569-8205",
            "fax_number": "614-567-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 DORCHESTER SQ S",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430817302",
            "telephone_number": "614-569-8205",
            "fax_number": "614-567-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKSON",
        "first_name": "LAUREN",
        "middle_name": "E",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-06",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I 1100093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.