MR. BRYAN PATRICK HICKEY (NPI# 1922668375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922668375 |
| Entity Type | Individual |
| Full Name | MR. BRYAN PATRICK HICKEY |
| Practice Address |
501 Lombard St New Haven CT 06513-2910 |
| Mailing Address |
1 Brewery Sq Apt T504 New Haven CT 06513-4375 |
| Practice Telephone | 2036057009 |
| Mailing Telephone | 2036057009 |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Brewery Sq Apt T504, New Haven, CT 065134375 | 2036057009 |
| Street Address |
501 LOMBARD ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06513-2910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285724591 | Christine D. Pawlik | Counselor | 501 Lombard St, New Haven, CT 06513-2910 | 2006-10-15 |
| 1497397566 | Odette White Eagle | Student in an Organized Health Care Education/Training Program | 501 Lombard St, New Haven, CT 06513-2910 | 2019-10-10 |
| 1811554504 | Meghan Rose | Counselor | 501 Lombard St, New Haven, CT 06513-2910 | 2019-05-29 |
| 1003388141 | Sandra Enders | Counselor | 501 Lombard St, New Haven, CT 06513-2910 | 2018-12-31 |
| 1033689989 | Rebecca Connelly | Counselor | 501 Lombard St, New Haven, CT 06513-2910 | 2018-12-04 |
| 1194295006 | Janine Laura Hitchens Parker | Social Worker | 501 Lombard St, New Haven, CT 06513-2910 | 2018-12-04 |
| 1003386939 | Darian Andre Coleman | Counselor | 501 Lombard St, New Haven, CT 06513-2910 | 2018-12-04 |
| 1861991549 | David Paul Morrissey | Counselor | 501 Lombard St, New Haven, CT 06513-2910 | 2018-02-07 |
| 1619483450 | Gabor Geza Kautzner | Social Worker | 501 Lombard St, New Haven, CT 06513-2910 | 2017-12-15 |
| 1033637814 | Aliyah Cummings | Developmental Therapist | 501 Lombard St, New Haven, CT 06513-2910 | 2017-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366906141 | Edward Rivera | Case Manager/Care Coordinator | 458 Grand Ave., Suite 103, New Haven, CT 06513 | 2019-01-25 |
| 1134698442 | Village of Angels Home Health Care LLC | Respite Care | 470 James Street, Suite 007, New Haven, CT 06513 | 2018-11-15 |
| 1609358068 | Sarah Khalil | Pharmacist | 745 Foxon Road, East Haven, CT 06513 | 2018-09-02 |
| 1912358375 | Domanice Poindexter | Nurse Practitioner | Caremore Health, 444 Foxon Rd, East Haven, CT 06513 | 2016-06-28 |
| 1568839876 | My Fair Haven Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 72 Grand Ave, New Haven, CT 06513 | 2015-08-24 |
| 1871979567 | Sankofa Counseling LLC | Community/Behavioral Health | 64 Thompson St Ste A101, East Haven, CT 06513 | 2015-08-04 |
| 1578967287 | Curtis Stewart | Pharmacy Technician | 661 Thompson Street, East Haven, CT 06513 | 2014-10-09 |
| 1548686322 | Davis Group LLC | Social Worker | 30 Grand Ave, New Haven, CT 06513 | 2014-03-17 |
| 1124459615 | James Lucas IIi | Dietitian, Registered | 167 Old Foxon Road, Unit 30b, New Haven, CT 06513 | 2013-12-09 |
| 1609206135 | Spretha Kadavath | Dentist | 50 Grand Ave, New Haven, CT 06513 | 2013-11-19 |
| Find all providers in zip 06513 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252995 | Peter James Butler | Social Worker | 580 Dixwell Ave, New Haven, CT 06511-1744 | 2020-10-16 |
| 1639785363 | Rita J Wagner | Social Worker | 81 Lenox St, New Haven, CT 06513-4420 | 2020-09-18 |
| 1659983740 | Neta Korem | Social Worker | 135 Canner St, New Haven, CT 06511-2201 | 2020-08-19 |
| 1568074136 | Jalena Louise Robertson Adams | Social Worker | 2218 Lyons Station Rd, New Haven, KY 40051-8723 | 2020-08-17 |
| 1588272744 | Angela Monique Avery | Social Worker | 1423 Chapel St Ste 2r, New Haven, CT 06511-4411 | 2020-07-14 |
| 1427675255 | Tatiana Martinez | Social Worker | 350 George St Fl 2, New Haven, CT 06511-6617 | 2020-06-27 |
| 1275167959 | Cheyenne Taylor | Social Worker | 911-913 State St, Sscs, New Haven, CT 06511-3926 | 2020-03-03 |
| 1093349862 | Becoming You Therapy | Social Worker | 14 Trumbull St Ste 103, New Haven, CT 06511-6312 | 2020-03-02 |
| 1245880418 | Estela Lopez-de Lara | Social Worker | 455 Orange St Ofc 1, New Haven, CT 06511-6202 | 2019-09-18 |
| 1710549753 | Adna Linden | Social Worker | 35 Elm St Ste 1c, New Haven, CT 06510-2023 | 2019-06-30 |
| Find all providers in NEW HAVEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.