| Laura Jane Hickman, MSW | |
|
475 S State St, Sparta, MI 49345-1549 | |
| (616) 685-1300 | |
| (616) 877-5989 |
| Full Name | Laura Jane Hickman |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 30 Years |
| Location | 475 S State St, Sparta, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881116457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801086667 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advantage Health/saint Mary's Medical Group | 4082807961 | 448 |
| Entity Name | Mercy Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023056744 PECOS PAC ID: 8921996307 Enrollment ID: O20040308000687 |
| Entity Name | Mercy Health Partners - Physician Specialist |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922248772 PECOS PAC ID: 2163572991 Enrollment ID: O20090616000615 |
| Entity Name | Advantage Health/saint Mary's Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376862151 PECOS PAC ID: 4082807961 Enrollment ID: O20101023000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Jane Hickman, MSW Po Box 776974, Chicago, IL 60677-6974 Ph: (231) 672-2119 | Laura Jane Hickman, MSW 475 S State St, Sparta, MI 49345-1549 Ph: (616) 685-1300 |
Jillian Marie Mccarthy, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2111 12 Mile Rd Nw, Sparta, MI 49345 Phone: 616-391-8470 | |
Nathan Stanley Stein, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 475 W Spartan Dr, Sparta, MI 49345 Phone: 616-754-6185 | |
Andrea J Tramper, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2111 12 Mile Rd, Sparta, MI 49345 Phone: 616-391-8470 | |
Ms. Minnette Kathleen Gamble, MPA, SPADA, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 168 Maple St, Sparta, MI 49345 Phone: 616-685-0985 | |
Mrs. Debra Jane Willison, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 161 Ida Red Ave, Sparta, MI 49345 Phone: 231-689-7330 Fax: 231-689-7345 |