Subricca Thjuana Hicks, LCSW | |
3601 Hilton Ave Ste 225, Columbus, GA 31904 | |
(229) 669-2080 | |
Not Available |
Full Name | Subricca Thjuana Hicks |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 3601 Hilton Ave Ste 225, Columbus, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598925430 | NPI | - | NPPES |
514073675A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW003530 (Georgia) | Primary |
Entity Name | Albany Area Primary Health Care, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780608992 PECOS PAC ID: 7911811922 Enrollment ID: O20040217000509 |
Mailing Address | Practice Location Address |
---|---|
Subricca Thjuana Hicks, LCSW 4326 Braddock Dr, Columbus, GA 31907-5422 Ph: (229) 669-2080 | Subricca Thjuana Hicks, LCSW 3601 Hilton Ave Ste 225, Columbus, GA 31904 Ph: (229) 669-2080 |
Peggy S Baltimore, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2901 University Ave, Suite 38, Columbus, GA 31907 Phone: 706-565-0555 Fax: 706-565-0556 | |
Suellyn G. Cashia, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8400 Veterans Pkwy, 1028, Columbus, GA 31909 Phone: 713-528-2328 Fax: 713-533-1408 | |
Ms. Deborah Jean Harrell, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3435 Cherokee Ave, Columbus, GA 31906 Phone: 706-544-3590 Fax: 706-544-4261 | |
Tanja Mathis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 421 12th St, Columbus, GA 31901 Phone: 706-494-7776 Fax: 706-494-7076 | |
Mr. David Earl Ebron, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2901 University Ave, Suite 35, Columbus, GA 31907 Phone: 706-563-8606 Fax: 706-563-8784 | |
Carnell Greenfield Jr., Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 421 12th St, Columbus, GA 31901 Phone: 706-494-7776 Fax: 706-494-7076 | |
Mr. Victor Lamont Crouch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3100 Gentian Boulevard, Suite 007l, Columbus, GA 31907 Phone: 404-229-7933 |