Individual provider · Type 1 NPI

Jeremiah Wayne Hicks, LCSW, CAADC, CCDPD

Clinical Social Worker · State College, PA

NPI number 1477890382 Active

Practice location

1993 Cato Ave
State College, PA 16801-2754

Call (814) 231-8820 Map

Fax (814) 231-8857

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCW017437 (PA)

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 1477890382

Jeremiah Wayne Hicks, LCSW, CAADC, CCDPD's National Provider Identifier is 1477890382, issued on Jan 11, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in State College, PA. The record was last updated on Oct 18, 2017.