Sue Bruner Hicks, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3239 Issued in OK

Practice address

2932 NW 122ND St
Suite 14
Oklahoma City, OK 73120-1955

Phone

(405) 418-7399

Fax

(405) 286-2402

NPI assigned

Mar 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1487787412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2932 NW 122ND ST",
            "address_2": "SUITE 14",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731201955",
            "telephone_number": "405-418-7399",
            "fax_number": "405-286-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2932 NW 122ND ST",
            "address_2": "SUITE 14",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731201955",
            "telephone_number": "405-418-7399",
            "fax_number": "405-286-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "SUE",
        "middle_name": "BRUNER",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "3239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200350740A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200350740B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Sue Hicks, MS, RDN, LD
• Kelsey Blaine Hicks, MD
• Ramona Hicks
• Randel Sterling Hicks, OD
• Shawnelle Hicks
• Johnny D Hickson III, M.D.
• Nicole Ogle Hickson, M.D.
• Jeaneth Rocio Hidalgo de Rangel, APRN
• Luz Mariel Hidalgo, FNP
• Kenneth A. Hieke, M.D.

• Clinical Social Worker in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.