Casey Hickman
Social Worker, Clinical in Los Angeles, CA. Individual provider (NPI-1).
NPI number1417536624
StatusActive
Last updated in NPPESJun 15, 2023
Details
- NPI
- 1417536624
- Entity type
- Individual (NPI-1)
- Name
- Casey Hickman
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2021
- Certification date
- Jun 15, 2023
- Last updated
- Jun 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 10221 | CA | Yes |
| 101YM0800X | Counselor, Mental Health | 10221 | CA | |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
2116 Arlington Ave Ste 100Los Angeles, CA 90018-1353
Phone 323-334-9000 · Fax 323-334-4437
Mailing address
2116 Arlington Ave Ste 100Los Angeles, CA 90018-1353
Phone 323-334-9000 · Fax 323-334-4437
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