David Graham Hickson, LCSWR

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R0626261 Issued in NY

Practice address

550 Latona Rd
Watona Office Campus BLDG B Davd Hickson Lcswr
Rochester, NY 14626

Phone

(585) 234-0018

Fax

(585) 697-2078

NPI assigned

Mar 1, 2007

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1497883557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 LATONA RD",
            "address_2": "WATONA OFFICE CAMPUS BLDG B DAVD HICKSON LCSWR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14626",
            "telephone_number": "585-234-0018",
            "fax_number": "585-697-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 LATONA RD",
            "address_2": "WATONA OFFICE CAMPUS BLDG B DAVD HICKSON LCSWR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14626",
            "telephone_number": "585-234-0018",
            "fax_number": "585-697-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKSON",
        "first_name": "DAVID",
        "middle_name": "GRAHAM",
        "name_prefix": "Mr.",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0626261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA CAQH",
            "identifier": "11409040",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11409040",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Hicks Shapiro, LCSW, ACSW,BCD
• David G. Hicks, MD
• George Leslie Hicks, M.D.
• R. Scott Hicks, MD
• Sandra L Hicks, LMSW
• Kelly Ann Hierlwimmer, LMSW
• Takamasa Higashimori, M.D.
• Christopher James Higginbotham, MD
• Barbara J. Higgins, LMHC, NCC
• Carolyn Higgins, PA-C

• Clinical Social Worker in Rochester, NY
• Providers in Rochester, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.