Subricca Thjuana Hicks, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW003530 Issued in GA

Practice address

3601 Hilton Ave Ste 225
Columbus, GA 31904

Phone

(229) 669-2080

NPI assigned

Jun 13, 2008

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 1

Other names 1

• Subricca Redding Former name

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Infinity Services Group, LLC

  • Community/Behavioral Health Agency
  • Columbus, GA
  • NPI 1164900858
  Medicare reassignment Authorized official
• Albany Area Primary Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Albany, GA
  • NPI 1780608992
  Medicare reassignment NPD
• Carenow Services, LLC

  • Community/Behavioral Health Agency
  • Roswell, GA
  • NPI 1770713117
  Medicare reassignment NPD
• Albany Area Primary Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Albany, GA
  • NPI 1013709625
  NPD
• Albany Area Primary Health Care, Inc.

  • Dental Clinic/Center
  • Albany, GA
  • NPI 1265886295
  NPD
• The Center for Creative Growth and Human Development, Inc.

  • Community/Behavioral Health Agency
  • Lagrange, GA
  • NPI 1205027398
  NPD (past)

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1598925430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4326 BRADDOCK DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319075422",
            "telephone_number": "229-669-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 HILTON AVE STE 225",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31904",
            "telephone_number": "229-669-2080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111B Corporate Park East Dr",
            "address_purpose": "LOCATION",
            "city": "LaGrange",
            "state": "GA",
            "postal_code": "302413680",
            "country_code": "US",
            "telephone_number": "706-884-1080",
            "fax_number": "706-812-8866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKS",
        "first_name": "SUBRICCA",
        "middle_name": "THJUANA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-13",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "514073675A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUBRICCA",
            "last_name": "REDDING",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pamela Hickenbottom
• Aimee Hicks, PHD, LPC, LCDC
• Anthony Hicks
• Brianna Hicks
• Donald Hicks
• Andreka Hickson
• Jennifer Ann Higdon, D.O.
• Amy Outlaw Higgins, C.P.N.P.
• Miranda Loper Higgins, PH.D.
• Lakesha Wanta High, FNP-C

• Clinical Social Worker in Columbus, GA
• Providers in Columbus, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.