Jeremy Lee Hicks, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2025018407 Issued in MO

Practice address

855 Arduser Dr
Osceola, MO 64776-6278

Phone

(417) 646-5075

NPI assigned

Jul 30, 2025

Sex

Male

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1508749029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 N ORCHARD ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647351242",
            "telephone_number": "660-924-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 ARDUSER DR",
            "city": "OSCEOLA",
            "state": "MO",
            "postal_code": "647766278",
            "telephone_number": "417-646-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "JEREMY",
        "middle_name": "LEE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2025018407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Truc Huu Doan, DDS
• Crystal Marie Fosnow, RDH
• Friends of St. Clair County, Inc.
• Ursula L Fuller, APRN, BC
• Golden Valley Memorial Hospital District
• David Kenneth Holdenried, PHARMD
• Neil E Hoyal, M.D., D.O.
• KB Osceola Drug LLC
• Jill Nicole Keister
• Lester E Cox Medical Centers

• Clinical Social Worker in Osceola, MO
• Providers in Osceola, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.

Verify at the official NPI Registry.