MEGAN HICKENBOTTOM LICSW
NPI 1093277238
Social Worker - Clinical in Fridley, MN

Q: What is Megan Hickenbottom's NPI number?

The NPI number for Megan Hickenbottom is 1093277238. It was assigned to this individual provider in the NPPES registry on April 5, 2019. The provider is also known as Megan Ness Licsw.

Q: What is Megan Hickenbottom's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since April 05, 2019PECOS EnrolledAccepts Medicare Assignment

520 OSBORNE RD NE, FRIDLEY, MN 55432(763) 236-7958 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2024, Apr 5, 2019 (2 updates tracked since 2019).

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About Megan Hickenbottom Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEGAN HICKENBOTTOM LICSW (NPI 1093277238) is an individual clinical provider in Fridley, Minnesota, licensed in Minnesota (22369) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital, and maintains a secondary practice location in Plymouth.

NPPES Registry Identity

NPI1093277238

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMEGAN HICKENBOTTOMCredential: LICSW

Location Address520 OSBORNE RD NEFridley, MN 55432-2718

Mailing Address3305 Queensland Ln NPlymouth, MN 55447-1133 · (612) 720-5632

Phone(763) 236-7958

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota, Duluth School Of MedicineGraduated 2015

Enumeration DateApril 5, 2019

Last NPPES UpdateSeptember 23, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2024

✔ NPI 1093277238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MN · 22369

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

520 OSBORNE RD NE, Fridley, MN 55432

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Other Names 1

Other Name (5)Megan Ness Licsw

Secondary Practice Location 1

Location 12855 Campus DrPlymouth, MN 55441-2649 · Phone (763) 577-7000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Megan Hickenbottom Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234472432

PECOS Enrollment IDI20190509001660

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital

Acute Care Hospitals · Coon Rapids, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240115

Location4050 Coon Rapids BlvdCoon Rapids, MN 55433 · Anoka County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55432 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $56.00 – $168.28

Typical copayment $0.00 (range $14.00 – $42.07)

Most-billed visit code NA

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KYLIE RENEE ANNE MATHIEU LADC

Counselor (Addiction (Substance Use Disorder))