Active NPI
Llewellyn Hicks, LCASA, LCSWA
- Clinical Social Worker
- Salisbury, NC
National Provider Identifier
1669778478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P015669
- Practice address
- 627 W Innes St
Salisbury, NC 28144-4158 - Phone
- (919) 694-6402
- NPI assigned
- Jan 27, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | P015669 | NC | Primary |
Addresses
Primary practice location
627 W Innes St
Salisbury, NC 28144-4158
Mailing address
476 S Parliament Way
Clayton, NC 27520-5055
Phone (919) 520-1783
Other practice location 1
4086 Barrett Dr
Raleigh, NC 27609-6604
Phone (919) 879-2737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P015669 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708646400000",
"number": "1669778478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "476 S PARLIAMENT WAY",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275205055",
"telephone_number": "919-520-1783",
"fax_number": "800-875-5876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "627 W INNES ST",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281444158",
"telephone_number": "919-694-6402"
}
],
"practiceLocations": [
{
"address_1": "4086 Barrett Dr",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276096604",
"country_code": "US",
"telephone_number": "919-879-2737",
"fax_number": "800-875-5876",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HICKS",
"first_name": "LLEWELLYN",
"name_prefix": "Mr.",
"credential": "LCASA, LCSWA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-27",
"last_updated": "2024-02-23",
"certification_date": "2024-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P015669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.