Kenneth I. Hicks, LICENSE CLINICAL SOC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

14401 Hartsook St Apt 315
Sherman Oaks, CA 91423-1041

Phone

(818) 788-8667

NPI assigned

Aug 26, 2010

Last updated

Aug 31, 2022By the provider in NPPES

Sex

Male

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)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Care Consultants

  • Clinical Social Worker
  • Sherman Oaks, CA
  • NPI 1043552250
  NPD
• Eating Disorder Institute of California

  • Psychiatry Physician
  • Glendale, CA
  • NPI 1922319441
  NPD (past)

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1801102983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14401 HARTSOOK ST APT 315",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914231041",
            "telephone_number": "818-788-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14401 HARTSOOK ST APT 315",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914231041",
            "telephone_number": "818-788-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "KENNETH",
        "middle_name": "I.",
        "name_prefix": "Mr.",
        "credential": "LICENSE CLINICAL SOC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-26",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Hertogh
• Mahsa Mesbah Hesari, M.A., BCBA
• David Heskiaoff, M.D.
• Liesl Nell Park Heuer
• HHC Home Health Inc
• Timeeka Hicks
• High Tech Orthopedics
• Robert C Higham, PA
• Leland Earl Hilburg
• Erica J Hill

• Clinical Social Worker in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.