Laurel Hicks, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34004687A Issued in IN

Legal business name

LAUREL HICKS, LCSW, LLC

Practice address

2680 E Main St
Suite 126
Plainfield, IN 46168-2825

Phone

(317) 966-8366

Fax

(317) 837-4901

NPI assigned

Jan 4, 2016

Organization subpart

No

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

Authorized official

Name

Laurel Hicks, LCSWNPI 1104892942

Title

Owner

Phone

(317) 966-8366

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laurel Hicks, LCSW, LLC

  • Clinical Social Worker
  • Plainfield, IN
  • NPI 1104892942
  NPD (past) Authorized official
• Amanda Leigh Trenta, LCSW, DCSW

  • Clinical Social Worker
  • Plainfield, IN
  • NPI 1801861687
  NPD (past)

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1659737880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5704 MUSTANG TER",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461688413",
            "telephone_number": "317-966-8366",
            "fax_number": "317-837-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 E MAIN ST",
            "address_2": "SUITE 126",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461682825",
            "telephone_number": "317-966-8366",
            "fax_number": "317-837-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL HICKS, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-966-8366",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004687A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Haley Marie Lautenschlager, BCBA
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• Charles Lawson, BC HIS
• Lushawna Elizabeth Lawson, PHARMD, MPA

• Clinical Social Worker in Plainfield, IN
• Providers in Plainfield, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.