Active NPI
Mark Edmund Hickey, LCSW
- Social Worker
- Dallas, TX
National Provider Identifier
1841485711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S29456
- Practice address
- 5227 Denton Dr
Dallas, TX 75235-8304 - Phone
- (214) 403-7675
- NPI assigned
- Sep 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | S29456 | TX | Primary |
Addresses
Primary practice location
5227 Denton Dr
Dallas, TX 75235-8304
Mailing address
5227 Denton Dr
Dallas, TX 75235-8304
Phone (214) 403-7675
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 |
|---|---|---|---|
| S29456 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189555200000",
"number": "1841485711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5227 DENTON DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752358304",
"telephone_number": "214-403-7675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5227 DENTON DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752358304",
"telephone_number": "214-403-7675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKEY",
"first_name": "MARK",
"middle_name": "EDMUND",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-12",
"last_updated": "2007-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "S29456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.