Amy Hicks, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3069 Issued in OK

Practice address

10230 Bonnycastle Dr
Yukon, OK 73099-7804

Phone

(918) 693-0411

NPI assigned

Feb 24, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Extended Family Home Health Care, LLC

  • Home Health Agency
  • Oklahoma City, OK
  • NPI 1083072763
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1003276726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10230 BONNYCASTLE DR",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730997804",
            "telephone_number": "918-693-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10230 BONNYCASTLE DR",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730997804",
            "telephone_number": "918-693-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "AMY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "3069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heritage Assisted Living Center L.L.C.
• Kimberly Hermosura
• Olivia Hernandez, DC
• Heroes Home Health Ok LLC
• Hannah Elizabeth Heskett, PA-C
• Breanna Hicks
• Gabrielle Bethany Sierra Alyss Hicks
• Higginbotham Hearing, LLC
• David James Higginbotham
• Alton J High, LMT

• Clinical Social Worker in Yukon, OK
• Providers in Yukon, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.