Individual provider Active NPI

Joyce Eunice Hicks, LLMSW

  • Social Worker
  • Jackson, MI
National Provider Identifier
1871894055
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801092364 Issued in MI
Practice address
180 W Michigan Ave
Ste 802
Jackson, MI 49201-1345
Phone
(517) 867-3419
Fax
(517) 252-2706
NPI assigned
Nov 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801092364 MI Primary

Addresses

Primary practice location

180 W Michigan Ave
Ste 802
Jackson, MI 49201-1345

Mailing address

180 W Michigan Ave
Ste 802
Jackson, MI 49201-1345
Phone (517) 867-3419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hicks Counseling and Health Coaching CurrentSince Nov 16, 2018 Accepting new patients

Locations

180 W Michigan Ave
Ste 802
Jackson, MI 49201
Phone (517) 201-5790

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1871894055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 W MICHIGAN AVE",
            "address_2": "STE 802",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011345",
            "telephone_number": "517-867-3419",
            "fax_number": "517-252-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W MICHIGAN AVE",
            "address_2": "STE 802",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011345",
            "telephone_number": "517-867-3419",
            "fax_number": "517-252-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "JOYCE",
        "middle_name": "EUNICE",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-04",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801092364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.