Dwan Zenon Bickham, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10955 Issued in LA

Practice address

6814 Silver Springs Dr.
Greenwell Springs, LA 70739

Phone

(225) 335-7703

NPI assigned

Oct 24, 2017

Last updated

Oct 24, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1699286120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6814 SILVER SPRINGS DR",
            "city": "GREENWELL SPRINGS",
            "state": "LA",
            "postal_code": "707394037",
            "telephone_number": "225-335-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6814 SILVER SPRINGS DR.",
            "city": "GREENWELL SPRINGS",
            "state": "LA",
            "postal_code": "70739",
            "telephone_number": "225-335-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICKHAM",
        "first_name": "DWAN",
        "middle_name": "ZENON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "10955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Greenwell Springs, LA
• Providers in Greenwell Springs, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.