Active NPI
Christina M Hicken, LMSW
- Clinical Social Worker
- Staten Island, NY
National Provider Identifier
1811228992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 080574
- Practice address
- 669 Castleton Ave
Staten Island Mental Health Society, Inc.
Staten Island, NY 10301 - Phone
- (718) 442-2225
- Fax
- (718) 442-2289
- NPI assigned
- Jan 29, 2010
- 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 | 080574 | NY | Primary |
Addresses
Primary practice location
669 Castleton Ave
Staten Island Mental Health Society, Inc.
Staten Island, NY 10301
Mailing address
669 Castleton Ave
Staten Island Mental Health Society, Inc.
Staten Island, NY 10301
Phone (718) 442-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 080574 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264723200000",
"number": "1811228992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "669 CASTLETON AVE",
"address_2": "STATEN ISLAND MENTAL HEALTH SOCIETY, INC.",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10301",
"telephone_number": "718-442-2225",
"fax_number": "718-442-2289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "669 CASTLETON AVE",
"address_2": "STATEN ISLAND MENTAL HEALTH SOCIETY, INC.",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10301",
"telephone_number": "718-442-2225",
"fax_number": "718-442-2289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKEN",
"first_name": "CHRISTINA",
"middle_name": "M",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-29",
"last_updated": "2010-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "080574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.