Individual provider Active NPI

Jennifer Kay Hickman, LCSW

  • Clinical Social Worker
  • Jamestown, NY
National Provider Identifier
1679157374
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
097587 Issued in NY
Practice address
Fenton Building East 2ND Street
4TH Floor Suite 404
Jamestown, NY 14701-5216
Phone
(716) 980-7850
Fax
(716) 427-0423
NPI assigned
May 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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 097587 NY Primary

Addresses

Primary practice location

Fenton Building East 2ND Street
4TH Floor Suite 404
Jamestown, NY 14701-5216

Mailing address

2 E 2ND St Ste 404
Jamestown, NY 14701-5206
Phone (716) 980-7850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20260317000614 NY Practitioner - Clinical Social Worker 3476036583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2 E 2ND St
Suite 404
Jamestown, NY 14701-5206

708 Foote Ave
Suite 289
Jamestown, NY 14701-8225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
097587NYMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Counseling LCSW PLLC Clinical CurrentSince Jan 6, 2026 Accepting new patients

Locations

708 Foote Ave
Jamestown, NY 14701

Organizations & group practices 1

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": "1620432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1679157374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 E 2ND ST STE 404",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147015206",
            "telephone_number": "716-980-7850",
            "fax_number": "716-427-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FENTON BUILDING EAST 2ND STREET",
            "address_2": "4TH FLOOR SUITE 404",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147015216",
            "telephone_number": "716-980-7850",
            "fax_number": "716-427-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "JENNIFER",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-08",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "097587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

Verify at the official NPI Registry.