Ken W Hicks, LCSW LAT NCAC II SAP

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Casper, WY

NPI 1609940329 · NPPES record last updated Sep 11, 2025

Key facts

NPI
1609940329
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
LAT157 (WY)
Practice address
336 S Jackson
Casper, WY 82601
Phone
(307) 265-2555
Fax
(307) 237-1259
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LAT157WYMDAddiction (Substance Use Disorder) Counselor
LCSW011WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Transitions, Inc. Addiction (Substance Use Disorder) Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LAT157 WY Yes
Clinical Social Worker 1041C0700X LCSW011 WY

Addresses

Primary practice location

336 S Jackson
Casper, WY 82601

Mailing address

336 S Jackson
Casper, WY 82601
Phone (307) 265-2555

Other providers in Casper, WY

All providers in Casper, WY · Addiction (Substance Use Disorder) Counselor in Wyoming

Sources for this page

Verify at the official NPI Registry.