Mary Michelle Hickman

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

A15410 Issued in OR

Practice address

1235 SE Morrison St Ste 200
Portland, OR 97214-2462

Phone

(503) 746-3373

NPI assigned

Sep 2, 2022

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

Other names 1

• Michelle Hickman Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Lifeline Connections

  • Substance Abuse Rehabilitation Facility
  • Vancouver, WA
  • NPI 1689892473
  NPD (past)

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1568182012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6835 SW CAPITOL HILL RD APT 29",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972192663",
            "telephone_number": "503-367-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 SE MORRISON ST STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142462",
            "telephone_number": "503-746-3373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6835 SW Capitol Hill Rd Apt 29",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972192663",
            "country_code": "US",
            "telephone_number": "503-746-3373 x41",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "MARY",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-02",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "A15410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "HICKMAN",
            "credential": "MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• M. Eileen Hickey
• Mary Margaret Hickey, LPC
• Sean Thomas Hickey, MD
• Benjamin Turner Hickman, DNP, PMHNP-BC
• Jennifer Sue Hickman, RN, BSN
• Pamela Jean Hickman, O.T.
• Samuel Jeffrey Hickman
• Camela Jahn Hicks Alexander
• Aaron Morley Hicks, M.D.
• Anna Nicole Hicks, MA, LPCA

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.