DERETHA HICKS-SYKES (NPI# 1033364872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033364872 |
| Entity Type | Individual |
| Full Name | DERETHA HICKS-SYKES |
| Other Name | MARY LEE D. SYKES |
| Credential | LCSW |
| Practice Address |
904 S 10th St Saint Joseph MO 64503-2405 |
| Mailing Address |
2303 Village Dr Saint Joseph MO 64506-4954 |
| Practice Telephone | 8162335188 |
| Practice Fax Number | 8162322696 |
| Mailing Telephone | 8162718219 |
| Mailing Fax Number | 8162322696 |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2009-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2004033766 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1033364872 | 05 | |
| MEDICARE PTAN | F29A00013 | 01 |
| Street Address |
904 S 10TH ST |
| City | SAINT JOSEPH |
| State | MO |
| Zip Code | 64503-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720102429 | City of St. Joseph | Public Health or Welfare | 904 S 10th St, Saint Joseph, MO 64503-2405 | 2007-03-19 |
| 1760920458 | Sonya K. Roe | Nurse Practitioner | 904 S 10th St, Saint Joseph, MO 64503-2405 | 2017-02-02 |
| 1558628313 | Sabrina K. Carter | Nurse Practitioner | 904 S 10th St, Saint Joseph, MO 64503-2405 | 2012-04-18 |
| 1346544186 | Karen Woodbury | Social Worker | 904 S 10th St, Saint Joseph, MO 64503-2405 | 2011-01-10 |
| 1679881841 | Brett Richard Barzee | Dentist | 904 S 10th St, Saint Joseph, MO 64503-2405 | 2010-09-21 |
| 1497966931 | Carol Mullican | Nurse Practitioner | 904 S 10th St, Saint Joseph, MO 64503-2405 | 2007-05-25 |
| 1013125020 | Mary Novinger | Case Manager/Care Coordinator | 904 S 10th St, Saint Joseph, MO 64503-2405 | 2007-05-21 |
| 1871707653 | Robin R Rhodes | Case Manager/Care Coordinator | 904 S 10th St, Suite E, Saint Joseph, MO 64503-2405 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669994356 | Laurie Dunn | Social Worker | 3302 S Belt Hwy P, Saint Joseph, MO 64503 | 2017-07-13 |
| 1598174062 | Karen Elizabeth Mccoy | Nurse Practitioner | 904 S.10th Street Homeless Outreach, Suite A, St. Joseph, MO 64503 | 2014-08-08 |
| 1487633848 | Rebecca A Weber | Speech-Language Pathologist | 3007 S Belt Hwy, St Joseph, MO 64503 | 2006-01-13 |
| 1003030990 | Dixie Leah Mattthews | Physical Therapy Assistant | 2708 Walnut St, Saint Joseph, MO 64503-1159 | 2007-04-12 |
| 1295871200 | Barbara Joanne Despain | Social Worker | 2716 Ajax Rd, Saint Joseph, MO 64503-1326 | 2007-01-29 |
| 1255622148 | Gayron W Haywood | Counselor | 3106 Pickett Rd, Saint Joseph, MO 64503-1426 | 2011-04-26 |
| 1881738748 | Holly L. Thomas-chapman | Social Worker | 3216 Pickett Rd, Saint Joseph, MO 64503-1428 | 2007-02-16 |
| 1770504730 | Hac, Inc. | Pharmacy | 3734 Pear St, Saint Joseph, MO 64503-1507 | 2006-07-22 |
| 1417339102 | Wheels's Pharmacy | Pharmacy | 3734 Pear St, Saint Joseph, MO 64503-1507 | 2015-06-18 |
| 1447899075 | Ashley Dickerson | Social Worker | 3302 S Belt Hwy Ste P, Saint Joseph, MO 64503-1514 | 2019-12-30 |
| Find all providers in zip 64503 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184281875 | Robin Zollar LLC | Social Worker | 800 Ship St Ste 107, Saint Joseph, MI 49085-2182 | 2019-05-29 |
| 1033674346 | Angelina Cooper | Social Worker | 3767 Windermere Dr, Saint Joseph, MI 49085-9483 | 2019-01-31 |
| 1063915254 | Amelia Harper | Social Worker | 3573 Hollywood Rd, Saint Joseph, MI 49085-9581 | 2018-03-14 |
| 1285140954 | Debra Ann Kerschbaum | Social Worker | 4730 Scottdale Rd, Saint Joseph, MI 49085-9317 | 2017-12-18 |
| 1104360734 | Family Empowerment Services LLC | Social Worker | 2630 Harmony Path, Saint Joseph, MI 49085-8298 | 2016-12-16 |
| 1033663950 | Kaitlin Linscheid | Social Worker | 1346 W Marquette Woods Rd, Saint Joseph, MI 49085-9721 | 2016-08-09 |
| 1073965430 | Michelle Lynn Bettin | Social Worker | 1511 E Minnesota St # 6, Saint Joseph, MN 56374-8618 | 2016-07-11 |
| 1629461827 | Sankofa Counseling & Consulting | Social Worker | 1101 Broad St, Saint Joseph, MI 49085-1790 | 2015-03-12 |
| 1740545938 | Cynthia Debey | Social Worker | 3432 Ashland Ave Ste U, Saint Joseph, MO 64506-1333 | 2012-07-12 |
| 1235412537 | Lori Ann Kanke | Social Worker | 2400 Frederick Blvd. Suite 401a, Saint Joseph, MO 64506 | 2011-09-22 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 64503 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.