Individual provider Active NPI

Khrishandalyn Rationne Hicks, LCSW

  • Clinical Social Worker
  • Gonzales, LA
National Provider Identifier
1821464546
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8923 Issued in LA
Practice address
524 S Burnside Ave
Gonzales, LA 70737-3448
Phone
(225) 257-4677
NPI assigned
Aug 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8923 LA Primary

Addresses

Primary practice location

524 S Burnside Ave
Gonzales, LA 70737-3448

Mailing address

4875 S Sherwood Forest Blvd Ste D1
Baton Rouge, LA 70816-4640
Phone (225) 512-4669

Other practice location 1

800 Spring St Ste 205
Shreveport, LA 71101-3757
Phone (318) 670-3170

Other practice location 2

4875 S Sherwood Forest Blvd Ste D1
Baton Rouge, LA 70816-4640
Phone (225) 512-4669

Other practice location 3

8706 Jefferson Hwy Ste A
Baton Rouge, LA 70809-2233
Phone (225) 926-9706

Other practice location 4

576 Belle Terre Blvd
LA Place, LA 70068-1715
Phone (504) 493-2271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190403001093 LA Practitioner - Clinical Social Worker 7810238763 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4875 S Sherwood Forest Blvd
Suite D1
Baton Rouge, LA 70816-4640
Phone (225) 512-4669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arc of Healing Therapy Services Clinical CurrentSince Aug 15, 2023 Accepting new patients
Fairway Counseling Agency, Inc. Past Accepting new patients
Cognitive Development Center of Baton Rouge PastSince May 14, 2023 Accepting new patients

Locations

4875 S Sherwood Forest Blvd
Ste D1
Baton Rouge, LA 70816
Phone (225) 217-2898

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1821464546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4875 S SHERWOOD FOREST BLVD STE D1",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164640",
            "telephone_number": "225-512-4669",
            "fax_number": "833-222-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 S BURNSIDE AVE",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707373448",
            "telephone_number": "225-257-4677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Spring St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711013757",
            "country_code": "US",
            "telephone_number": "318-670-3170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4875 S Sherwood Forest Blvd Ste D1",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708164640",
            "country_code": "US",
            "telephone_number": "225-512-4669",
            "fax_number": "833-222-8840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8706 Jefferson Hwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708092233",
            "country_code": "US",
            "telephone_number": "225-926-9706",
            "fax_number": "225-926-9708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "576 Belle Terre Blvd",
            "address_purpose": "LOCATION",
            "city": "LA Place",
            "state": "LA",
            "postal_code": "700681715",
            "country_code": "US",
            "telephone_number": "504-493-2271",
            "fax_number": "985-359-2388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKS",
        "first_name": "KHRISHANDALYN",
        "middle_name": "RATIONNE",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-17",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "8923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

Verify at the official NPI Registry.