Individual provider Active NPI

Chelsea Hicks, LCSW

  • Clinical Social Worker
  • Oklahoma City, OK
National Provider Identifier
1740521053
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5419 Issued in OK
Practice address
616 NW 21St St Ste 110
Oklahoma City, OK 73103-1861
Phone
(405) 633-0230
NPI assigned
Mar 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5419 OK Primary
Clinical Social Worker 1041C0700X LC50079877 DC

Addresses

Primary practice location

616 NW 21St St Ste 110
Oklahoma City, OK 73103-1861

Mailing address

616 NW 21St St Ste 110
Oklahoma City, OK 73103-1861
Phone (405) 633-0230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20200109001235 OK Practitioner - Clinical Social Worker 7416382098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC50079877DCMDClinical Social Worker
5419OKMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Gray Rock Counseling, LLC Clinical CurrentSince Jan 8, 2024 Accepting new patients

Locations

616 NW 21st St
Ste 110
Oklahoma City, OK 73103
Phone (405) 633-0230

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": "1363046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1740521053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 NW 21ST ST STE 110",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731031861",
            "telephone_number": "405-633-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 NW 21ST ST STE 110",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731031861",
            "telephone_number": "405-633-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "CHELSEA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-12",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "5419",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50079877",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.