Individual provider Active NPI

Monika Hicks, MSSW

  • Clinical Social Worker
  • Memphis, TN
National Provider Identifier
1629796750
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7775 Issued in TN
Practice address
7372 Creek Bend Dr
Memphis, TN 38125-3022
Phone
(901) 335-2436
Fax
(901) 791-4390
NPI assigned
Aug 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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 7775 TN Primary

Addresses

Primary practice location

7372 Creek Bend Dr
Memphis, TN 38125-3022

Mailing address

14662 Smokey LN
Olive Branch, MS 38654-5553
Phone (901) 335-2436

Other practice location 1

14662 Smokey Ln
Olive Branch, MS 38654-5553
Phone (901) 335-2436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230503000364 TN Practitioner - Clinical Social Worker 6204291917 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7775TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hicks Consulting PLLC Clinical CurrentSince Jul 22, 2024 Accepting new patients
Professional Care Services of West TN, Inc. CurrentSince Apr 1, 2023 Accepting new patients

Locations

1997 Highway 51 S
Covington, TN 38019
Phone (844) 727-2778

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1629796750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14662 SMOKEY LN",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386545553",
            "telephone_number": "901-335-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7372 CREEK BEND DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381253022",
            "telephone_number": "901-335-2436",
            "fax_number": "901-791-4390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14662 Smokey Ln",
            "address_purpose": "LOCATION",
            "city": "Olive Branch",
            "state": "MS",
            "postal_code": "386545553",
            "country_code": "US",
            "telephone_number": "901-335-2436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKS",
        "first_name": "MONIKA",
        "credential": "MSSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "7775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.