Active NPI
Dorothy Laurice Hickerson, CSW
- Clinical Social Worker
- Jeffersonville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 253930
- Practice address
- 460 Spring St.
Jeffersonville, IN 47130 - Phone
- (812) 280-2080
- Fax
- (812) 206-1213
- NPI assigned
- Mar 5, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 253930 | KY | Primary |
Addresses
Primary practice location
460 Spring St.
Jeffersonville, IN 47130
Mailing address
460 Spring St.
Jeffersonville, IN 47130
Phone (812) 280-2080
Other names 1
- Ms. Dorothy Laurice Hickerson-Hipsher
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201026003251 | KY | Practitioner - Clinical Social Worker | 4284054545 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1169 Eastern Pkwy
Suite 1124
Louisville, KY 40217-1462
Phone (502) 576-6643
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Kentucky Counseling Center, LLC | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Clinical | Current | Accepting new patients |
| Joshuas House | Clinical | Current | Accepting new patients |
Locations
1603 Stevens Ave
Louisville, KY 40205
Phone (502) 451-5955
3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313
1169 Eastern Pkwy
Ste 1124
Louisville, KY 40217
Phone (502) 309-9751
1169 Eastern Pkwy
Ste 3328
Louisville, KY 40217
Phone (205) 914-2526
Organizations & group practices 4
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": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1437288503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 SPRING ST.",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "47130",
"telephone_number": "812-280-2080",
"fax_number": "812-206-1213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 SPRING ST.",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "47130",
"telephone_number": "812-280-2080",
"fax_number": "812-206-1213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKERSON",
"first_name": "DOROTHY",
"middle_name": "LAURICE",
"name_prefix": "Ms.",
"credential": "CSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "253930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DOROTHY",
"last_name": "HICKERSON-HIPSHER",
"middle_name": "LAURICE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jeffersonville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.