AMANDA M HICKEY LISW
NPI 1356848782
Social Worker - Clinical in Dayton, OH

Active since April 11, 2018PECOS Enrolled
601 SOUTH EDWIN C MOSES BLVD, DAYTON, OH 45417(937) 734-8333 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 30, 2020, Apr 17, 2019, Apr 11, 2018 (3 updates tracked since 2018).

About Amanda M Hickey Lisw NPPES

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

AMANDA M HICKEY LISW (NPI 1356848782) is an individual clinical provider in Dayton, Ohio, licensed in Ohio (I2002357) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Centerville, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1356848782
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMANDA M HICKEYCredential: LISW
Location Address601 SOUTH EDWIN C MOSES BLVDDayton, OH 45417-3424
Mailing Address601 South Edwin C Moses BlvdDayton, OH 45417-3424 · (937) 734-8333
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 11, 2018
Last NPPES UpdateSeptember 30, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2020
NPI 1356848782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in OH · I2002357
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.

Also ListedSocial WorkerTaxonomy 104100000X · License S.0900620 (OH), S0900620 (OH)
601 SOUTH EDWIN C MOSES BLVD, Dayton, OH 45417

Secondary Practice Location 1

Location 17970 Clyo RdCenterville, OH 45459-4835 · Phone (937) 813-8914

Other Identifiers 1

Other261QM0801XGroup Npi

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Amanda M Hickey Lisw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143668194
PECOS Enrollment IDI20260519000555
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45417 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 $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 20

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

Social Worker
601 SOUTH EDWIN C MOSES BLVD
DAYTON, OH 45417
Licensed Practical Nurse
601 SOUTH EDWIN C MOSES BLVD
DAYTON, OH 45417
Case Manager/Care Coordinator
601 SOUTH EDWIN C MOSES BLVD
DAYTON, OH 45417
Social Worker
601 SOUTH EDWIN C MOSES BLVD
DAYTON, OH 45417
Counselor (Mental Health)
601 SOUTH EDWIN C MOSES BLVD
DAYTON, OH 45417
Social Worker
601 SOUTH EDWIN C MOSES BLVD
DAYTON, OH 45417
Case Manager/Care Coordinator
601 SOUTH EDWIN C MOSES BLVD
DAYTON, OH 45417
Counselor
601 SOUTH EDWIN C MOSES BLVD
DAYTON, OH 45417

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356848782, enumerated as an "individual" on April 11, 2018.

The provider is located at 601 SOUTH EDWIN C MOSES BLVD DAYTON, OH 45417 and the phone number is (937) 734-8333.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: CareSource, Florida Blue (BlueCross BlueShield. Please consult your insurance carrier or call the provider to verify.