Provider Demographics
NPI:1235362880
Name:HICKS, HANNAH (LCSW, LICSW)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:HICKS
Suffix:
Gender:F
Credentials:LCSW, LICSW
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:
Other - Last Name:NORTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HERNANDEZ
Mailing Address - Street 1:7124 ROLLING VIEW DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-0156
Mailing Address - Country:US
Mailing Address - Phone:320-298-2038
Mailing Address - Fax:
Practice Address - Street 1:7124 ROLLING VIEW DR
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-0156
Practice Address - Country:US
Practice Address - Phone:320-298-2038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-31
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN29555OtherLICSW LICENSE
CA75733OtherLCSW LICENSE
COCSW09928935OtherLCSW LICENSE