Active NPI
Keri Sue Hickmott, MSW, LMSW
- Clinical Social Worker
- Clarkston, MI
National Provider Identifier
1962624957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L867163
- Practice address
- 9340 Dixie Highway
Clarkston, MI 48348 - Phone
- (248) 625-3123
- NPI assigned
- May 2, 2007
- 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 | L867163 | MI | Primary |
Addresses
Primary practice location
9340 Dixie Highway
Clarkston, MI 48348
Mailing address
707 Rolling Acres Dr.
Ortonville, IL 48462-9152
Phone (248) 627-1457
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L867163 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garwood Associates L L C | Clinical | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Clarkston, MI
- NPI 1417024720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962624957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 ROLLING ACRES DR.",
"city": "ORTONVILLE",
"state": "IL",
"postal_code": "484629152",
"telephone_number": "248-627-1457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9340 DIXIE HIGHWAY",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "48348",
"telephone_number": "248-625-3123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKMOTT",
"first_name": "KERI",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "MSW, LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "L867163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarkston, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.