Active NPI
Alyssa Hicks
- Clinical Social Worker
- Aurora, OH
National Provider Identifier
1720481013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- S1101158
- Practice address
- 494 Eggleston Rd
Aurora, OH 44202-7736 - Phone
- (330) 687-2974
- NPI assigned
- Oct 1, 2014
- 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 | S1101158 | OH | Primary |
Addresses
Primary practice location
494 Eggleston Rd
Aurora, OH 44202-7736
Mailing address
494 Eggleston Rd
Aurora, OH 44202-7736
Phone (330) 687-2974
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
33595 Bainbridge Rd
Suite 330
Solon, OH 44139-2942
494 Eggleston Rd
Aurora, OH 44202-7736
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S1101158 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pastoral Counseling Service of Summit Co Inc | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Beachwood, OH
- NPI 1821432758
-
- Community/Behavioral Health Agency
- Akron, OH
- NPI 1073925624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1720481013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "494 EGGLESTON RD",
"city": "AURORA",
"state": "OH",
"postal_code": "442027736",
"telephone_number": "330-687-2974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "494 EGGLESTON RD",
"city": "AURORA",
"state": "OH",
"postal_code": "442027736",
"telephone_number": "330-687-2974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "ALYSSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-01",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S1101158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.