Provider Demographics
NPI:1407883465
Name:HICKS, DEBORAH SYKES (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:SYKES
Last Name:HICKS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6130A MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-0734
Mailing Address - Country:US
Mailing Address - Phone:916-852-0669
Mailing Address - Fax:916-852-6529
Practice Address - Street 1:6130A MADISON AVE
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-0734
Practice Address - Country:US
Practice Address - Phone:916-852-0669
Practice Address - Fax:916-852-6529
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-27
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS130651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA118575OtherFOCUS HEALTHCARE MANAGEME
CAZZZ48275ZOtherBLUE SHIELD
CA273873000OtherMAGELLAN HEALTH
CA6529432Medicaid
CA336578OtherMANAGED HEALTH NETWORK