Active NPIIndividual providerSole proprietor

Diane C Hicks, LICSW

Social Worker, Clinical in Brattleboro, Vermont

NPI Number1053860569
Practice location
54 Harris Pl Ste 105, Brattleboro, VT 05301-6709
Fax
—
Last updated
September 19, 2022

Diane Carol Hicks is a Social Worker, Clinical based in Brattleboro, VT. Diane Carol Hicks practices in Brattleboro, VT and has the professional credentials of LICSW. The NPI Number for Diane Carol Hicks is 1053860569 and holds a License No. 125489 (MA). The current practice location address for Diane Carol Hicks is 54 Harris Pl Ste 105, Brattleboro, VT 05301-6709 and can be reached out via phone at 413-345-8974.

Provider Profile Details

NPI Number
1053860569
Provider Name
Diane Carol Hicks
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
54 Harris Pl Ste 105, Brattleboro, VT 05301-6709
Phone Number
413-345-8974
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 26, 2016
Last Update Date
September 19, 2022
Certification Date
September 19, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
54 Harris Pl Ste 105
Brattleboro, VT 05301-6709
State
Vermont
Zip
05301-6709
Phone Number
413-345-8974
Brattleboro, VT 05301Get directions →

Provider Business Mailing Address Details

Address
228 Steady Ln
Ashfield, MA 01330-9724
City
Ashfield
State
MA
Zip
01330-9724
Phone Number
413-345-8974

License Information

License Number (1)
125489
License State (1)
MA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
089.0134696
License State (2)
VT
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Diane C Hicks, LICSW?

The NPI number of Diane C Hicks, LICSW is 1053860569. It was assigned on September 26, 2016 and is currently active in the NPPES registry.

What is the specialty of Diane C Hicks, LICSW?

Diane C Hicks, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 125489.

Where does Diane C Hicks, LICSW practice?

The practice location is 54 Harris Pl Ste 105, Brattleboro, VT 05301-6709. The office can be reached at 413-345-8974 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053860569 directly on the NPPES registry website.

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