Individual provider Active NPI

Shyanna J Hicks, LCSW

  • Clinical Social Worker
  • Chester, VA
National Provider Identifier
1427138361
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904010227 Issued in VA
Practice address
3636 Hamlin Creek Pkwy
Chester, VA 23831-1456
Phone
(860) 881-7656
NPI assigned
Oct 16, 2006
Last updated
May 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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 0904010227 VA Primary

Addresses

Primary practice location

3636 Hamlin Creek Pkwy
Chester, VA 23831-1456

Mailing address

3636 Hamlin Creek Pkwy
Chester, VA 23831-1456
Phone (860) 881-7656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Focus, LLC CurrentSince Jun 4, 2024 Accepting new patients
Family Focus, LLC CurrentSince Jun 4, 2024 Accepting new patients

Locations

2807 N Parham Rd
Ste 300
Richmond, VA 23294
Phone (804) 261-2090

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1427138361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 HAMLIN CREEK PKWY",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311456",
            "telephone_number": "860-881-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 HAMLIN CREEK PKWY",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311456",
            "telephone_number": "860-881-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "SHYANNA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, VA

Sources for this page

Verify at the official NPI Registry.