Individual provider · Type 1 NPI

Tanner Hickman

Clinical Social Worker · Stockton, CA

NPI number 1194272146 Active

Practice location

2495 W March Ln
Stockton, CA 95207-8251

Call (209) 465-1080 Map

Mailing address

2500 Artisan Dr
Lansing, MI 48910-4907

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Social Worker 104100000XASW78099 (CA)
Clinical Social Worker Primary 1041C0700XLCSW103729 (CA)

Clinical Social Worker: 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1194272146

Tanner Hickman's National Provider Identifier is 1194272146, issued on Sep 7, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Stockton, CA. The record was last updated on Aug 3, 2022.