Individual provider Active NPI

Hannah Hicks, LCSW, LICSW

  • Clinical Social Worker
  • Avon, MN
National Provider Identifier
1235362880
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
17113 County Road 9
Avon, MN 56310-8004
Phone
(951) 468-9847
Fax
(951) 470-3159
NPI assigned
Aug 31, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

17113 County Road 9
Avon, MN 56310-8004

Mailing address

17113 County Road 9
Avon, MN 56310-8004
Phone (951) 468-9847

Other identifiers 2

IdentifierTypeStateIssuer
75733OtherCALCSW LICENSE
29555OtherMNLICSW LICENSE

Other names 1

  • Hannah Norton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 5, 2024 through Jan 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
75733CAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive for Life Therapy, L.L.C. Clinical Past Accepting new patients
Thrive for Life Counseling and Supervision Clinical PastSince Jan 26, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1235362880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17113 COUNTY ROAD 9",
            "city": "AVON",
            "state": "MN",
            "postal_code": "563108004",
            "telephone_number": "951-468-9847",
            "fax_number": "951-470-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17113 COUNTY ROAD 9",
            "city": "AVON",
            "state": "MN",
            "postal_code": "563108004",
            "telephone_number": "951-468-9847",
            "fax_number": "951-470-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "HANNAH",
        "credential": "LCSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-31",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE",
            "identifier": "75733",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSW LICENSE",
            "identifier": "29555",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "NORTON",
            "credential": "HERNANDEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Avon, MN

Sources for this page

Verify at the official NPI Registry.