Deretha Hicks-Sykes, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2004033766 Issued in MO

Practice address

904 S 10TH St
Saint Joseph, MO 64503-2405

Phone

(816) 233-5188

Fax

(816) 232-2696

NPI assigned

Nov 20, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mary Lee D. Sykes Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245283200000",
    "number": "1033364872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 VILLAGE DR",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645064954",
            "telephone_number": "816-271-8219",
            "fax_number": "816-232-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 S 10TH ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645032405",
            "telephone_number": "816-233-5188",
            "fax_number": "816-232-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS-SYKES",
        "first_name": "DERETHA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-20",
        "last_updated": "2009-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2004033766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "F29A00013",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033364872",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY LEE",
            "last_name": "SYKES",
            "middle_name": "D.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Salvador Hernandez
• Lauren Michele Herr, LMSW
• Gage Herrington, PLPC
• Stevie Jae Hiatt, FNP
• Kody Michelle Hickman, PHARMD
• McKenzie Higgins
• Kerri Jean Hilbert, M.A., LPC
• Nicole Marie Hilgenberg, MPT
• Chandler Hill, DDS
• Jana Marie Hill, DO

• Clinical Social Worker in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.