STEFANIE HICKMAN – Clinical Social Worker, NPI 1104211507

STEFANIE HICKMAN is a healthcare provider. based in Battle creek, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 6801093726 (MI). The NPI Number for STEFANIE HICKMAN is 1104211507

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
STEFANIE HICKMAN
NPI
1104211507
Phone
(269) 966-1460
Address
140 MICHIGAN AVE W
Enumeration Date
2 April 2015
Last Update Date
2 April 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2699798333
Graduation Year
2000 (26 years ago)
PAC ID
4385945054
Group Practice PAC ID
4587551189
Professional Enrollment ID
I20151222002034
Address ID
MI490157376BA3630XSWXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

4,820 CLINICAL SOCIAL WORKER in MI

Provider Addresses for STEFANIE HICKMAN

  • 140 MICHIGAN AVE W

    BATTLE CREEK, MI 490173602

    Phone: (269) 966-1460

    Fax: (269) 979-7766

    Mailing address matches the actual address.

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: 2015-12-22

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
I20151222002034IClinical Social WorkerMITBD

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 49017)

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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: 4587551189View full group profile
NameSpecialtyState
Nurse PractitionerMI
-MI
P S Y C H I A T R YMI
-MI
Mental Health CounselorMI
Mental Health CounselorMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Nurse PractitionerMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What is the standard ID for STEFANIE HICKMAN in the U.S.?
In the U.S., STEFANIE HICKMAN is identified by NPI 1104211507.
Is STEFANIE HICKMAN's NPI status active today?
Active status means STEFANIE HICKMAN's NPI record is not deactivated in the public file.
What services align with STEFANIE HICKMAN's listing?
STEFANIE HICKMAN's public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What city is tied to STEFANIE HICKMAN?
The directory associates STEFANIE HICKMAN with Battle Creek, Michigan. Check all listed addresses for suites or satellite offices.
Who maintains STEFANIE HICKMAN's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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