Laurel Hicks, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34004687A Issued in IN

Practice address

2680 E Main St
Suite 126
Plainfield, IN 46168-2825

Phone

(317) 966-8366

Fax

(317) 837-4901

NPI assigned

Feb 23, 2006

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

Other identifiers 1

Other names 1

• Ms. Laurel Hicks Professional name

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.

• Laurel Hicks, LCSW, LLC

  • Clinical Social Worker
  • Plainfield, IN
  • NPI 1659737880
  NPD (past) Authorized official

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1104892942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 E MAIN ST STE 126",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461682827",
            "telephone_number": "317-966-8366",
            "fax_number": "317-942-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 E MAIN ST",
            "address_2": "SUITE 126",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461682825",
            "telephone_number": "317-966-8366",
            "fax_number": "317-837-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "LAUREL",
        "name_prefix": "Ms.",
        "credential": "LCSW, LLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004687A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39897001",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREL",
            "last_name": "HICKS",
            "prefix": "MS.",
            "credential": "LCSW, LCAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Clinical Social Worker in Plainfield, IN
• Providers in Plainfield, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.