Jenna Hickey, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14043 Issued in CT

Practice address

180 Broad St Apt 1419
Stamford, CT 06901-2080

Phone

(857) 400-0868

NPI assigned

Jan 25, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 22, 2024 through Apr 22, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Soundview Therapy Center, LLC

  • Adult Mental Health Clinic/Center
  • Stamford, CT
  • NPI 1831912716
  NPD Authorized official

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1841942422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 BROAD ST APT 1419",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069012080",
            "telephone_number": "857-400-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 BROAD ST APT 1419",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069012080",
            "telephone_number": "857-400-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "JENNA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-25",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "125790",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "14043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSW LICENSE #",
            "identifier": "125790",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE #",
            "identifier": "14043",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erik George Heyliger, D.C.
• Christopher Heymann
• John Edward Hicka, MSW LCSW
• Thomas Ryan Hickernell, MD
• Jane Elizabeth Hickey, OTR
• High Quality Home Therapy LLC
• High Ridge Family Practice, LLC
• High Ridge Road Drug Corporation
• Sharmelle Highbloom, M.D.
• Sausan Hilmi, M.D.

• Clinical Social Worker in Stamford, CT
• Providers in Stamford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.