Dominique Leeann Hickman, LCSW in High Point, NC - Medicare Social Worker Provider

Dominique Leeann Hickman, LCSW is a medicare enrolled "Social Worker - Clinical" provider in High Point, North Carolina. Her current practice location is 501 E Green Dr, High Point, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 641-7654.

Dominique Leeann Hickman is licensed to practice in North Carolina (license number C012368) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1518497403.

Contact Information

	Dominique Leeann Hickman, LCSW
	501 E Green Dr, High Point, NC 27260
	(336) 641-7654
	(336) 641-3210

Map and Direction

Healthcare Provider's Profile

Full Name	Dominique Leeann Hickman
Gender	Female
Speciality	Social Worker - Clinical
Location	501 E Green Dr, High Point, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518497403
Provider Enumeration Date: 06/14/2017
Last Update Date: 08/06/2019

Medicare PECOS Information:

PECOS PAC ID: 8325569395
Enrollment ID: I20250306000984

Medical Identifiers

Medical identifiers for Dominique Leeann Hickman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518497403	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	P011631 (North Carolina)	Secondary
1041C0700X	Social Worker - Clinical	C012368 (North Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dominique Leeann Hickman allows following entities to bill medicare on her behalf.

Entity Name	Rha Behavioral Health Nc Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700318680 PECOS PAC ID: 4688948656 Enrollment ID: O20170914003770

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dominique Leeann Hickman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dominique Leeann Hickman, LCSW 117 Meadowood St Apt E, Greensboro, NC 27409-2357 Ph: (336) 493-9875	Dominique Leeann Hickman, LCSW 501 E Green Dr, High Point, NC 27260 Ph: (336) 641-7654

Reviews and Comments

Social Worker in High Point, NC

Mrs. Margaret Lorene Miller Crite, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2411 Penny Rd Ste 102, High Point, NC 27265 Phone: 336-340-6477 Fax: 336-289-4945
Mrs. Melanee Kelley-kahl, MSW, P-LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1401 Long St., High Point, NC 27262 Phone: 336-889-6161
Kathryn Falbo-woodson, MSW, LCSWA Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 274 Eastchester Dr Ste 120, High Point, NC 27262 Phone: 336-542-2992
Kali Franklin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1022 True Ln, High Point, NC 27260 Phone: 336-885-0191
Ms. Cortrina Lynn Johnson, MSW/LCASA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1001 Phillips Ave, High Point, NC 27262 Phone: 910-670-7119
Amy Elizabeth Coe Goins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 E Commerce Ave, High Point, NC 27260 Phone: 336-884-0224 Fax: 336-884-3471
Mrs. Cassie Oxendine Price, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 910 Mill Ave, High Point, NC 27260 Phone: 336-883-7480

Dominique Leeann Hickman, LCSW - Medicare Clinical Social Worker in High Point, NC