Active NPI
Deborah Sykes Hicks, LCSW
- Clinical Social Worker
- Carmichael, CA
National Provider Identifier
1407883465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS13065
- Practice address
- 6130A Madison Ave
Carmichael, CA 95608-0734 - Phone
- (916) 852-0669
- Fax
- (916) 852-6529
- NPI assigned
- Jun 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS13065 | CA | Primary |
Addresses
Primary practice location
6130A Madison Ave
Carmichael, CA 95608-0734
Mailing address
6130A Madison Ave
Carmichael, CA 95608-0734
Phone (916) 852-0669
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118575 | Other | CA | FOCUS HEALTHCARE MANAGEME |
| ZZZ48275Z | Other | CA | BLUE SHIELD |
| 273873000 | Other | CA | MAGELLAN HEALTH |
| 6529432 | Medicaid | CA | |
| 336578 | Other | CA | MANAGED HEALTH NETWORK |
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 |
|---|---|---|---|
| LCS13065 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1407883465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6130A MADISON AVE",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956080734",
"telephone_number": "916-852-0669",
"fax_number": "916-852-6529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6130A MADISON AVE",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956080734",
"telephone_number": "916-852-0669",
"fax_number": "916-852-6529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "DEBORAH",
"middle_name": "SYKES",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS13065",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FOCUS HEALTHCARE MANAGEME",
"identifier": "118575",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ48275Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN HEALTH",
"identifier": "273873000",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6529432",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "336578",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carmichael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.