Wyneshia Hicks, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15237 Issued in MD

Practice address

17116 Queen Victoria CT
Apt 401
Gaithersburg, MD 20877-3650

Phone

(301) 660-3141

NPI assigned

Jun 5, 2012

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

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.

Opted out of Medicare

Yes, effective Sep 18, 2019 through Sep 18, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wise Roads to Healing, LLC

  • Clinical Social Worker
  • Gaithersburg, MD
  • NPI 1477274140
  NPD Authorized official

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1730440900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17116 QUEEN VICTORIA CT",
            "address_2": "APT 401",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208773650",
            "telephone_number": "301-660-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17116 QUEEN VICTORIA CT",
            "address_2": "APT 401",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208773650",
            "telephone_number": "301-660-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "WYNESHIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Hewitt
• Paul Heyman, O.D.
• Amirah Hicks
• Ebonie Danay Hicks
• Sa'Taya Hicks
• Crystal Lyshay Higginbotham
• Rossana D Hilario, LMSW
• Sasha Hileman, PSY.D
• Hill Southern Dental of Maryland PPO PC
• Anthony L Hill, PH.D.

• Clinical Social Worker in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.