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SHANNON HICKS L.C.S.W L.C.A.C. NPI 1417295320


NPI Information

NPI: 1417295320
Provider Name: SHANNON HICKS, L.C.S.W, L.C.A.C.
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
7136 GETTYSBURG PIKE
FORT WAYNE, IN
ZIP 46804
Phone: (260) 745-3231
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Shannon Hicks, L.C.S.W, L.C.A.C. is a clinical social worker in Fort Wayne, IN. The provider is 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. Shannon Hicks, L.C.S.W, L.C.A.C. NPI is 1417295320. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7136 GETTYSBURG PIKE
FORT WAYNE, IN
ZIP 46804-680
Phone: (260) 745-3231

The enumeration date for this NPI number is 1/28/2013 and was last updated on 1/28/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)87001417AINDIANANo
21041C0700XSocial WorkerClinical34006343AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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