Provider Demographics
NPI:1700178464
Name:HICKMAN, JAMES MONROE II (LCSW)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:MONROE
Last Name:HICKMAN
Suffix:II
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1917 BROKEN BOW
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72116-4405
Mailing Address - Country:US
Mailing Address - Phone:501-554-5027
Mailing Address - Fax:
Practice Address - Street 1:3601 RICHARDS RD
Practice Address - Street 2:P.O. DRAWER 24210
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72117-2954
Practice Address - Country:US
Practice Address - Phone:501-221-1843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-12
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC-1141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical