Individual provider Active NPI

Dorothy Laurice Hickerson, CSW

  • Clinical Social Worker
  • Jeffersonville, IN
National Provider Identifier
1437288503
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
253930 Issued in KY
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

Updated by the provider on Oct 28, 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 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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Joshuas HouseGroup PAC ID 1254865694, 2 clinicians

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 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Mar 17, 2023 Accepting new patients
Kentucky Counseling Center, LLC CurrentSince Sep 7, 2020 Accepting new patients
Baptist Health Medical Group Inc Clinical CurrentSince Mar 17, 2023 Accepting new patients
Joshuas House Clinical CurrentSince Jul 29, 2024 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

Verify at the official NPI Registry.