Tanner Hickman, is a
Social Worker - Clinical based in Stockton, California. Tanner Hickman is licensed to practice in California (license number LCSW103729) and his current practice location is
2495 W March Ln, Stockton, California. He can be reached at his office (for appointments etc.) via phone at
(209) 465-1080.
NPI number for Tanner Hickman is 1194272146 and his current mailing address is 2500 Artisan Dr, Lansing, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194272146.
Healthcare Provider's Profile
| Full Name | Tanner Hickman |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 2495 W March Ln, Stockton, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1194272146
- Provider Enumeration Date: 09/07/2016
- Last Update Date: 08/03/2022
Medical Identifiers
Medical identifiers for Tanner Hickman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194272146 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | ASW78099 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW103729 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tanner Hickman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tanner Hickman,
2500 Artisan Dr,
Lansing, MI 48910-4907
Ph: () - | Tanner Hickman,
2495 W March Ln,
Stockton, CA 95207-8251
Ph: (209) 465-1080 |
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