Provider Demographics
NPI:1245649888
Name:HICKS, BRITTANY MARIE (LICSW)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:MARIE
Last Name:HICKS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:MARIE
Other - Last Name:BATT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LIMHP, CMSW
Mailing Address - Street 1:2900 S 70TH ST
Mailing Address - Street 2:STE 130
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-3733
Mailing Address - Country:US
Mailing Address - Phone:402-434-7177
Mailing Address - Fax:402-434-7180
Practice Address - Street 1:1620 S 70TH ST STE 104
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-1563
Practice Address - Country:US
Practice Address - Phone:402-853-7385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-07
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE17081041C0700X
NE6940104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker