Individual provider Active NPI

Emily Hickmott, LISW

  • Clinical Social Worker
  • Gallipolis, OH
National Provider Identifier
1447741384
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2506265 Issued in OH
Practice address
861 3Rd Ave
Gallipolis, OH 45631-1624
Phone
(740) 209-0276
NPI assigned
May 26, 2018
Last updated
Mar 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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.2506265 OH Primary

Addresses

Primary practice location

861 3Rd Ave
Gallipolis, OH 45631-1624

Mailing address

PO Box 1595
Columbus, OH 43216-1595
Phone (800) 321-8293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20260508001402 OH Practitioner - Clinical Social Worker 6901374867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

413 Jackson Pike
Gallipolis, OH 45631-1348

861 3Rd Ave
Gallipolis, OH 45631-1624

PO Box
Athens, OH 45701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2506265OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Services for Behavioral Health Clinical CurrentSince Mar 24, 2026 Accepting new patients
Integrated Services for Behavioral Health PastSince Mar 24, 2026 Accepting new patients

Locations

11 Graham Dr
Athens, OH 45701
Phone (740) 594-6807

83 Shawnee Ln
Gallipolis, OH 45631
Phone (740) 818-5993

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/isaoh/r4/

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": "1527292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1447741384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1595",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432161595",
            "telephone_number": "800-321-8293",
            "fax_number": "740-594-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 3RD AVE",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311624",
            "telephone_number": "740-209-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMOTT",
        "first_name": "EMILY",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-26",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2506265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallipolis, OH

Sources for this page

Verify at the official NPI Registry.