Organization Active NPI

Patricia Hickey MSW

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1942839238
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PATRICIA HICKEY MSW
Doing business as
Patricia Hickey, MSW
Practice address
2020 Raybrook St SE Ste 301
Grand Rapids, MI 49546-7717
Phone
(616) 560-3199
Fax
(616) 777-0406
NPI assigned
Apr 7, 2020
Last updated
Apr 7, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
PATRICIA HICKEY MSWAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Authorized official

Name
Patricia Ann Hickey, MSW
Title
Owner
Phone
(616) 560-3199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2020 Raybrook St SE Ste 301
Grand Rapids, MI 49546-7717

Mailing address

2020 Raybrook St SE Ste 301
Grand Rapids, MI 49546-7717
Phone (616) 560-3199

Other names 1

  • Patricia Hickey, MSW Doing business as

National Provider Directory

National Provider Directory
Part of
Patricia Hickey MSW

Locations

2020 Raybrook St SE
Ste 301
Grand Rapids, MI 49546
Phone (616) 560-3199

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1942839238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 RAYBROOK ST SE STE 301",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467717",
            "telephone_number": "616-560-3199",
            "fax_number": "616-777-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 RAYBROOK ST SE STE 301",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467717",
            "telephone_number": "616-560-3199",
            "fax_number": "616-777-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA HICKEY MSW",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATRICIA HICKEY MSW",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "HICKEY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-560-3199",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patricia Hickey, MSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.