Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Caleb Hickerson

Individual provider Social Worker · NPI 1518511807

Caleb Hickerson is a Clinical Social Worker in Portsmouth, Ohio. Qualified in 2019, 7 years ago. Practices with Kings Daughters Medical Specialties Inc, a 387-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
7
Licensed in
OH
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

1729 Kinneys Ln Ste 101
Portsmouth, OH 45662-3166
Phone: (740) 529-2440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 411 Court St, Portsmouth, OH 45662-3932 — (740) 354-6685

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I.2203992 (OH)
Social Worker Taxonomy 104100000X · Licence S.1904077 (OH)
Social Worker Taxonomy 104100000X · Licence I.2203992 (OH)

Record details

NPI number1518511807
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 25, 2019
Last updated in NPPESMay 7, 2024
Certification dateMay 7, 2024
Mailing address411 Court St, Portsmouth, OH 45662-3932

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Kings Daughters Medical Specialties Inc — 387 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Portsmouth