Amalie B Hickman is a Clinical in South Bend, Indiana. Amalie B Hickman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Amalie B Hickman is 1295917656. The last update date is 2021-10-25.
Amalie B Hickman's current location address is 26491 Inverness Dr Ste 201, South Bend, Indiana. You can contact this provider via phone number 2198513500. The mailing address for Amalie B Hickman is 26491 Inverness Dr Ste 201, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amalie B Hickman |
|---|---|
| Address | 26491 Inverness Dr Ste 201, South Bend, Indiana |
| Phone Number | 2198513500 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1295917656 |
|---|---|
| Provider Enumeration Date | 2007-11-28 |
| Last Updated Date | 2021-10-25 |
Provider Mailing Address Detail
| Address | 26491 Inverness Dr Ste 201 |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466289279 |
| Phone Number | 2198513500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34006069A |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100163580 | KS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Amalie B Hickman by the Centers for Medicare & Medicaid Services?
The Amalie B Hickman has been assigned the NPI (National Provider Identifier) 1295917656 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Amalie B Hickman is physically located?
The Amalie B Hickman is situated at the following address: 26491 Inverness Dr Ste 201, South Bend, IN 466289279.
What is Amalie B Hickman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Amalie B Hickman is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Amalie B Hickman receive the assignment of its 1295917656 from the Centers for Medicare & Medicaid Services?
The Amalie B Hickman was issued its 1295917656 by the Centers for Medicare & Medicaid Services on 2007-11-28.
When was the information regarding Amalie B Hickman, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Amalie B Hickman, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-10-25.
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