Active NPI
Anita B Hicks, M.S.
- Clinical Social Worker
- Scottsdale, AZ
National Provider Identifier
1235123548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW1930
- Practice address
- 4300 N Miller Rd
Ste. 102
Scottsdale, AZ 85251-3619 - Phone
- (489) 994-9868
- Fax
- (602) 956-9711
- NPI assigned
- Sep 1, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW1930 | AZ | Primary |
| Clinical Social Worker | 1041C0700X | IL |
Addresses
Primary practice location
4300 N Miller Rd
Ste. 102
Scottsdale, AZ 85251-3619
Mailing address
4950 E Rockridge Rd
Phoenix, AZ 85018-1827
Phone (602) 956-9711
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW1930 | AZ | MD | Clinical Social Worker |
| 149003627 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235123548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4950 E ROCKRIDGE RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850181827",
"telephone_number": "602-956-9711",
"fax_number": "602-956-9711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 N MILLER RD",
"address_2": "STE. 102",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852513619",
"telephone_number": "489-994-9868",
"fax_number": "602-956-9711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "ANITA",
"middle_name": "B",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW1930",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.