Shatonia Monique Hicks

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0906011278 Issued in VA

Practice address

1130 Tabb St
Norfolk, VA 23504-3434

Phone

(757) 625-0003

NPI assigned

May 28, 2021

Last updated

May 28, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Clinical Social Worker

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• New Vision Healthcare Services, LLC

  • Nurse's Aide
  • Virginia Beach, VA
  • NPI 1083358295
  NPD Authorized official

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1437725736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 OLD CLUBHOUSE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234533082",
            "telephone_number": "757-701-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 TABB ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235043434",
            "telephone_number": "757-625-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "SHATONIA",
        "middle_name": "MONIQUE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0906011278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cyrus C Heydarian, MD
• Jenna Hickman, LAT, ATC
• Addison Souza Hicks, MD
• Kelly Smith Hicks, PNP
• Latrisha Diana Hicks
• Kelly M Higgins-Cross, MSW LCSW
• Gay High, RN
• Newton Daniel High, MPAS. PA-C
• Donald Paul Highley Jr., INDEPENDENT DUTY COR
• Megan Highsmith, LMT/C-MLD/MMP

• Clinical Social Worker in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.