Active NPI
Tasha Hickey
- Social Worker
- Reisterstown, MD
National Provider Identifier
1558815993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 22154
- Practice address
- 37 Main St
Reisterstown, MD 21136-1236 - Phone
- (410) 526-7882
- NPI assigned
- Aug 14, 2016
- Last updated
- Aug 14, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 22154 | MD | Primary |
Addresses
Primary practice location
37 Main St
Reisterstown, MD 21136-1236
Mailing address
4618 Harcourt Rd
Baltimore, MD 21214-3338
Phone (443) 839-6124
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XIK905591248 | Other | MD | CAREFIRST BLUECHOICE,INC. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22154 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471132800000",
"number": "1558815993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4618 HARCOURT RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212143338",
"telephone_number": "443-839-6124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 MAIN ST",
"city": "REISTERSTOWN",
"state": "MD",
"postal_code": "211361236",
"telephone_number": "410-526-7882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKEY",
"first_name": "TASHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-14",
"last_updated": "2016-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "22154",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUECHOICE,INC.",
"identifier": "XIK905591248",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reisterstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.