Active NPI
Courtney Hickey, LCSW
- Clinical Social Worker
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.021656
- Practice address
- 5547 N Ravenswood Ave # 201
Chicago, IL 60640-1125 - Phone
- (773) 349-2466
- NPI assigned
- Sep 26, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.021656 | IL | Primary |
Addresses
Primary practice location
5547 N Ravenswood Ave # 201
Chicago, IL 60640-1125
Mailing address
5547 N Ravenswood Ave # 201
Chicago, IL 60640-1125
Other practice location 1
836 W Wellington Ave
Chicago, IL 60657-5147
Phone (224) 280-5866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230606000547 | IL | Practitioner - Clinical Social Worker | 1052778164 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bridgepoint Psychology Center Inc
Practice addresses (Care Compare)
5547 N Ravenswood Ave
Suite 201
Chicago, IL 60640-1125
Phone (773) 349-2466
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgepoint Psychology Center Inc. | Current | Accepting new patients | |
| Youth Outreach Services | Past | Accepting new patients | |
| Youth Outreach Services | Past | Accepting new patients |
Locations
5547 N Ravenswood Ave
#201
Chicago, IL 60640
Phone (773) 349-2466
5547 N Ravenswood Ave
Ste 201
Chicago, IL 60640
Phone (773) 219-0484
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Melrose Park, IL
- NPI 1568916476
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Melrose Park, IL
- NPI 1811227341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1922557404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5547 N RAVENSWOOD AVE # 201",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606401125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5547 N RAVENSWOOD AVE # 201",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606401125",
"telephone_number": "773-349-2466"
}
],
"practiceLocations": [
{
"address_1": "836 W Wellington Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606575147",
"country_code": "US",
"telephone_number": "224-280-5866",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HICKEY",
"first_name": "COURTNEY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-26",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.021656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.