Individual provider Active NPI

Laurie Hicks, LICSW

  • Clinical Social Worker
  • East Greenwich, RI
National Provider Identifier
1770860298
Registry record updated Nov 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW00641 Issued in RI
Practice address
800 Quaker LN
East Greenwich, RI 02818-1667
Phone
(401) 886-6600
Fax
(401) 886-6632
NPI assigned
Nov 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2011

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 ISW00641 RI Primary

Addresses

Primary practice location

800 Quaker LN
East Greenwich, RI 02818-1667

Mailing address

800 Quaker LN
East Greenwich, RI 02818-1667
Phone (401) 886-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20241115000819 RI Practitioner - Mental Health Counselor 3173057916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rhode Island Counseling Associates LLCGroup PAC ID 7618219544, 42 clinicians

Practice addresses (Care Compare)

1150 Reservoir Ave
Suite 203
Cranston, RI 02920-6043
Phone (401) 259-0340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW00641RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island Counseling Associates LLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

1150 Reservoir Ave
Ste 203
Cranston, RI 02920
Phone (401) 259-0340

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1320969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320969600000",
    "number": "1770860298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 QUAKER LN",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181667",
            "telephone_number": "401-886-6600",
            "fax_number": "401-886-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 QUAKER LN",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181667",
            "telephone_number": "401-886-6600",
            "fax_number": "401-886-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "LAURIE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-11",
        "last_updated": "2011-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW00641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenwich, RI

Sources for this page

Verify at the official NPI Registry.