Active NPI
Audrey Hicks, LGSW
- Social Worker
- Summersville, WV
National Provider Identifier
1215796347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- BP00946273
- Practice address
- 131 Wellness Dr
Summersville, WV 26651-5402 - Phone
- (888) 736-3229
- Fax
- (304) 497-2707
- NPI assigned
- Mar 19, 2024
- Last updated
- Nov 2, 2026
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | BP00946273 | WV | Primary |
Addresses
Primary practice location
131 Wellness Dr
Summersville, WV 26651-5402
Mailing address
131 Wellness Dr
Summersville, WV 26651-5402
Phone (888) 736-3229
Other practice location 1
70 Parcoal Rd
Webster Springs, WV 26288-9767
Phone (304) 445-8496
Other practice location 2
804 Industrial Park Rd
Maxwelton, WV 24957-8066
Phone (304) 486-8655
Other practice location 3
414 Industrial Park Road
Maxwelton, WV 24957
Phone (888) 736-3229
Other practice location 4
704 3rd Ave
Marlinton, WV 24954-1142
Phone (888) 736-3229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP00946273 | WV | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1793577600000",
"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": "304-497-2707"
}
],
"practiceLocations": [
{
"address_1": "70 Parcoal Rd",
"address_purpose": "LOCATION",
"city": "Webster Springs",
"state": "WV",
"postal_code": "262889767",
"country_code": "US",
"telephone_number": "304-445-8496",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "804 Industrial Park Rd",
"address_purpose": "LOCATION",
"city": "Maxwelton",
"state": "WV",
"postal_code": "249578066",
"country_code": "US",
"telephone_number": "304-486-8655",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "414 Industrial Park Road",
"address_purpose": "LOCATION",
"city": "Maxwelton",
"state": "WV",
"postal_code": "24957",
"country_code": "US",
"telephone_number": "888-736-3229",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "704 3rd Ave",
"address_purpose": "LOCATION",
"city": "Marlinton",
"state": "WV",
"postal_code": "249541142",
"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": "2026-11-02",
"certification_date": "2026-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WV",
"license": "BP00946273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summersville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.