John Vicent Hickman in Lake Grove - Clinical
John Vicent Hickman - NPI 1538230495
John Vicent Hickman is a Clinical in Lake Grove, New York. John Vicent Hickman practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Vicent Hickman is 1538230495. The last update date is 2007-07-08.
John Vicent Hickman's current location address is 25 Beech St, Lake Grove, New York. You can contact this provider via phone number 6319812843. The mailing address for John Vicent Hickman is 25 Beech St, Lake Grove, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Vicent Hickman |
|---|---|
| Address | 25 Beech St, Lake Grove, New York |
| Phone Number | 6319812843 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW, CASA |
NPI Number Detail
| NPI Number | 1538230495 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 25 Beech St |
|---|---|
| City | Lake Grove |
| State | New York (NY) |
| Post Code | 117553141 |
| Phone Number | 6319812843 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R045978 |
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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 |
|---|---|---|---|
| 354807 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to John Vicent Hickman by the Centers for Medicare & Medicaid Services?
The John Vicent Hickman has been assigned the NPI (National Provider Identifier) 1538230495 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where John Vicent Hickman's facilities are situated?
The facilities of John Vicent Hickman are physically located at the following address: 25 Beech St, Lake Grove, NY, 117553141.
What is John Vicent Hickman's area of expertise and its corresponding taxonomy classification?
The John Vicent Hickman's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the John Vicent Hickman receive the assignment of its 1538230495 from the Centers for Medicare & Medicaid Services?
The John Vicent Hickman was issued its 1538230495 by the Centers for Medicare & Medicaid Services on 2006-11-13.
When was the information related to John Vicent Hickman most recently updated or refreshed?
The details pertaining to the John Vicent Hickman, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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