Individual provider Active NPI

Rhiannon Samantha Hickox, LCSW

  • Clinical Social Worker
  • Barneveld, NY
National Provider Identifier
1881132835
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
090453-01 Issued in NY
Practice address
7980 State Route 12
Barneveld, NY 13304-2536
Phone
(315) 624-8440
Fax
(315) 624-8450
NPI assigned
Feb 9, 2017
Last updated
Sep 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 090453-01 NY Primary

Addresses

Primary practice location

7980 State Route 12
Barneveld, NY 13304-2536

Mailing address

2209 Genesee Street
Business Office Room 315
Utica, NY 13501-1812
Phone (315) 801-3282

Other identifiers 1

IdentifierTypeStateIssuer
06449123MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Sep 20, 2024 through Sep 20, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
090453-01NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1881132835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 GENESEE STREET",
            "address_2": "BUSINESS OFFICE ROOM 315",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135011812",
            "telephone_number": "315-801-3282",
            "fax_number": "315-801-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7980 STATE ROUTE 12",
            "city": "BARNEVELD",
            "state": "NY",
            "postal_code": "133042536",
            "telephone_number": "315-624-8440",
            "fax_number": "315-624-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKOX",
        "first_name": "RHIANNON",
        "middle_name": "SAMANTHA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-09",
        "last_updated": "2021-09-13",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090453-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06449123",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barneveld, NY

Sources for this page

Verify at the official NPI Registry.