Provider Demographics
NPI:1689988313
Name:HICKEY, MAUREEN A (LICSW)
Entity Type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:A
Last Name:HICKEY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:MAUREEN
Other - Middle Name:A
Other - Last Name:WOODSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:13 MEADOW LARK DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02346
Mailing Address - Country:US
Mailing Address - Phone:781-400-4182
Mailing Address - Fax:
Practice Address - Street 1:13 MEADOW LARK DR
Practice Address - Street 2:
Practice Address - City:MIDDLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02346
Practice Address - Country:US
Practice Address - Phone:781-400-4182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-05
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1152121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical