Individual provider · Type 1 NPI

Amy Jo Hicks

Clinical Social Worker · Mountain Home A F B, ID

NPI number 1467773903 Active

Practice location

90 Hope Dr, Bldg. 6000
Mountain Home A F B, ID 83648-1057

Fax (208) 828-3940

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW 27371 (ID)

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 1467773903

Amy Jo Hicks's National Provider Identifier is 1467773903, issued on Jun 18, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mountain Home A F B, ID. The record was last updated on Oct 25, 2010.