Audrey Hicks, LGSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

BP00946273 Issued in WV

Practice address

131 Wellness Dr
Summersville, WV 26651-5402

Phone

(888) 736-3229

Fax

(304) 872-5415

NPI assigned

Mar 19, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1215796347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 WELLNESS DR",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266515402",
            "telephone_number": "888-736-3229",
            "fax_number": "304-872-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 WELLNESS DR",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266515402",
            "telephone_number": "888-736-3229",
            "fax_number": "304-872-5415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "804 Industrial Park Rd",
            "address_purpose": "LOCATION",
            "city": "Maxwelton",
            "state": "WV",
            "postal_code": "249578066",
            "country_code": "US",
            "telephone_number": "888-736-3229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKS",
        "first_name": "AUDREY",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "BP00946273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Hendricks
• Lucas Hendrix
• Jason Cole Henline
• Benjamin Lee Hensley, D.O.
• Savannah Renee Hickman
• Drew Hicks, PHARMD
• Candice Hilleary
• Marilyn Ann Hinkle
• Ruby J Holcomb
• Beverly Kay Hollingsworth

• Social Worker in Summersville, WV
• Providers in Summersville, WV by specialty
• Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.