Active NPI
Maygen Marie Hicks, LCSWA
- Clinical Social Worker
- New Bern, NC
National Provider Identifier
1215600846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C014679
- Practice address
- 3123 Catarina LN
New Bern, NC 28562-7043 - Phone
- (804) 385-6160
- NPI assigned
- Jul 29, 2021
- Last updated
- Oct 1, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C014679 | NC | Primary |
Addresses
Primary practice location
3123 Catarina LN
New Bern, NC 28562-7043
Mailing address
3123 Catarina LN
New Bern, NC 28562-7043
Phone (804) 385-6160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C014679 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rha Health Services Inc | Current | Accepting new patients | |
| Rha Health Services, Inc | Current | Accepting new patients | |
| Rha Health Services Inc | Current | Accepting new patients |
Locations
211 Perimeter Center Pkwy NE
Ste 750
Atlanta, GA 30346
211 S Centennial St
High Point, NC 27260
Phone (336) 841-0143
1405A S Glenburnie Rd
New Bern, NC 28562
Phone (252) 638-7875
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Concord, NC
- NPI 1447376306
-
- Community/Behavioral Health Agency
- New Bern, NC
- NPI 1679608913
-
- Community/Behavioral Health Agency
- Yanceyville, NC
- NPI 1629489307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727740800000",
"number": "1215600846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3123 CATARINA LN",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285627043",
"telephone_number": "804-385-6160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3123 CATARINA LN",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285627043",
"telephone_number": "804-385-6160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "MAYGEN",
"middle_name": "MARIE",
"credential": "LCSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-29",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C014679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.