MR. CARL HERBERT JR. HICKEY (LICSW) – Clinical Social Worker, NPI 1801089149

MR. CARL HERBERT JR. HICKEY (LICSW) is a healthcare provider. based in Fairhope, Alabama. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 0958C (AL). The NPI Number for MR. CARL HERBERT JR. HICKEY (LICSW) is 1801089149

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
MR. CARL HERBERT JR. HICKEY (LICSW)
NPI
1801089149
Phone
(251) 450-2211
Address
374 Greeno Rd S
Enumeration Date
21 August 2007
Last Update Date
7 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2514800070
Graduation Year
1989 (37 years ago)
PAC ID
0749255206
Group Practice PAC ID
6800252628
Professional Enrollment ID
I20040827001063
Address ID
AL366092241MO3929XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

390 CLINICAL SOCIAL WORKER in AL

Provider Addresses for MR. CARL HERBERT JR. HICKEY (LICSW)

  • 374 Greeno Rd S

    Fairhope, AL 365321916

    Phone: (251) 450-2211

    Type: Location

  • Thomas Hospital, 750, Morphy Avenue, Magnolia Beach, Fairhope, Baldwin County, Alabama, 36532, United States

    ATTN: THE HARBOR AT THOMAS HOSPITAL

    FAIRHOPE, AL 365321812

    Phone: (251) 279-1119

    Fax: (251) 279-1117

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-08-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040827001063IClinical Social WorkerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36532)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800252628View full group profile
NameSpecialtyState
Clinical Social WorkerAL
Mental Health CounselorGA
P S Y C H I A T R YMI
Clinical Social WorkerAL
Clinical Social WorkerAL
Clinical Social WorkerFL
Mental Health CounselorMS
P S Y C H I A T R YAL
Clinical Social WorkerAL
Mental Health CounselorAL

Reviews

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Frequently asked questions

What identifier follows MR. CARL HERBERT JR. HICKEY (LICSW) across health systems?
The NPI 1801089149 uniquely identifies MR. CARL HERBERT JR. HICKEY (LICSW) in U.S. healthcare data.
Is MR. CARL HERBERT JR. HICKEY (LICSW)'s NPI status active today?
Active status means MR. CARL HERBERT JR. HICKEY (LICSW)'s NPI record is not deactivated in the public file.
How should patients interpret MR. CARL HERBERT JR. HICKEY (LICSW)'s specialty?
The extract shows Clinical Social Worker for MR. CARL HERBERT JR. HICKEY (LICSW). Clinical services aligned with this taxonomy classification.
Which community is linked to MR. CARL HERBERT JR. HICKEY (LICSW)?
MR. CARL HERBERT JR. HICKEY (LICSW) shows a connection to Fairhope, Alabama in registry-derived data.
Who maintains MR. CARL HERBERT JR. HICKEY (LICSW)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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