Individual provider Active NPI

Dalaise Hickey, LMSW

  • Clinical Social Worker
  • Valley Cottage, NY
National Provider Identifier
1497395636
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14766 Issued in CT
Practice address
925 Sierra Vista LN
Valley Cottage, NY 10989-2724
Phone
(914) 226-6356
NPI assigned
Jan 15, 2020
Last updated
Jan 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 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 14766 CT Primary

Addresses

Primary practice location

925 Sierra Vista LN
Valley Cottage, NY 10989-2724

Mailing address

925 Sierra Vista LN
Valley Cottage, NY 10989-2724
Phone (914) 226-6356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241220000260 CT Practitioner - Clinical Social Worker 9638606221 Reassigns benefits to 2 organizations
I20250906000113 NJ Practitioner - Clinical Social Worker 9638606221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14766CTMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Stokes Counseling Services LLC Clinical CurrentSince Dec 10, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Dec 10, 2024 Accepting new patients
Iya Therapy and Wellness PLLC Clinical Current Accepting new patients
Grow Healthcare Group of New Jersey PC Clinical CurrentSince Aug 2, 2025 Accepting new patients

Locations

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

16 Hillside Ave
Naugatuck, CT 06770
Phone (203) 729-0341

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

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, 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": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1497395636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 SIERRA VISTA LN",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892724",
            "telephone_number": "914-226-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 SIERRA VISTA LN",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892724",
            "telephone_number": "914-226-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "DALAISE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "14766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Cottage, NY

Sources for this page

Verify at the official NPI Registry.