Active NPI
E Gayle Hickman, LISW CP AP
- Clinical Social Worker
- Columbia, SC
National Provider Identifier
1619922747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 262
- Practice address
- 125 Alpine Circle
Columbia, SC 29223 - Phone
- (803) 779-3548
- Fax
- (803) 779-7055
- NPI assigned
- May 24, 2006
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 262 | SC | Primary |
Addresses
Primary practice location
125 Alpine Circle
Columbia, SC 29223
Mailing address
125 Alpine Circle
Columbia, SC 29223
Phone (803) 779-3548
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 9, 2014 through Jan 9, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 262 | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1619922747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 ALPINE CIRCLE",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29223",
"telephone_number": "803-779-3548",
"fax_number": "803-779-7055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 ALPINE CIRCLE",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29223",
"telephone_number": "803-779-3548",
"fax_number": "803-779-7055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKMAN",
"first_name": "E",
"middle_name": "GAYLE",
"name_prefix": "Ms.",
"credential": "LISW CP AP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.