Individual provider Active NPI

Toni Hickey, LCSW

  • Clinical Social Worker
  • Danville, VA
National Provider Identifier
1851718357
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904015146 Issued in VA
Practice address
245 Hairston St
Danville, VA 24540-4137
Phone
(434) 799-0456
NPI assigned
Mar 21, 2014
Last updated
Jun 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 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 34006912A IN
Clinical Social Worker 1041C0700X 0904015146 VA Primary

Addresses

Primary practice location

245 Hairston St
Danville, VA 24540-4137

Mailing address

1906 Beech St
Apt 235
Valparaiso, IN 46383-5262
Phone (219) 712-2696

Other practice location 1

1525 N Ritter Ave
Indianapolis, IN 46219-3026
Phone (317) 359-5467

Other identifiers 1

IdentifierTypeStateIssuer
000000864857OtherINANTHEM BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180312001390 IN Practitioner - Clinical Social Worker 2769613074 Reassigns benefits to 1 organization
I20230526001978 VA Practitioner - Clinical Social Worker 2769613074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

222 Indianapolis Blvd
Suite 207B
Schererville, IN 46375-1276
Phone (219) 808-0793

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34006912AINMDClinical Social Worker
0904015146VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pillar Interventions CurrentSince Feb 1, 2018 Accepting new patients
Danville-Pittsylvania Community Services CurrentSince May 29, 2023 Accepting new patients

Locations

222 Indianapolis Blvd
Ste 207B
Schererville, IN 46375
Phone (219) 712-2696

245 Hairston St
Danville, VA 24540
Phone (434) 799-0456

Organizations & group practices 2

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": "1395360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1851718357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 BEECH ST",
            "address_2": "APT 235",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463835262",
            "telephone_number": "219-712-2696",
            "fax_number": "765-374-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 HAIRSTON ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245404137",
            "telephone_number": "434-799-0456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1525 N Ritter Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462193026",
            "country_code": "US",
            "telephone_number": "317-359-5467",
            "fax_number": "317-322-4095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "TONI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-21",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006912A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904015146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000864857",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.