WENDY LEE HICKS (NPI# 1164517579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164517579 |
| Entity Type | Individual |
| Full Name | WENDY LEE HICKS |
| Credential | LMSW |
| Practice Address |
8495 Crater Lake Hwy Va Sorcc White City OR 97503-3011 |
| Mailing Address |
Po Box 2741 White City OR 97503-0741 |
| Practice Telephone | 5418262111 |
| Mailing Telephone | 5417728455 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 065376 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568873040 | Wendy Ann Staples Hicks | Chiropractor | 1445 Technology Ln, Ste A3, Petaluma, CA 94954-7613 | 2014-05-18 |
| 1295383230 | Wendy Lynn Hicks | Counselor | 3132 Jefferson St, San Diego, CA 92110-4421 | 2019-09-03 |
| 1124519111 | Wendy Hicks | Behavior Technician | 1731 Sw 66th Dr, Gainesville, FL 32607-5369 | 2018-05-24 |
| 1497089791 | Wendy Nicole Hicks | Occupational Therapist | 819 Water St, Ste 300, Kerrville, TX 78028-5333 | 2009-09-21 |
| Street Address |
8495 CRATER LAKE HWY VA SORCC |
| City | WHITE CITY |
| State | OR |
| Zip Code | 97503-3011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578568226 | David T. Quinn | Dentist | 8495 Crater Lake Hwy, Dental (160), White City, OR 97503-3011 | 2005-06-19 |
| 1003428244 | Adrian Anthony Garibay | Registered Nurse | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2020-08-19 |
| 1083237341 | Shawna Stucke | Social Worker | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2020-05-21 |
| 1073133872 | Danielle Knight | Dietitian, Registered | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2020-04-21 |
| 1144864448 | Michael E Greer II | Social Worker | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2019-10-30 |
| 1023666526 | Kiana M Saqr | Optometrist | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2019-08-28 |
| 1356901896 | Christina C Lowe | Dietitian, Registered | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2019-06-17 |
| 1336602572 | Cederick Jason Victor | Social Worker | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2019-04-12 |
| 1083174544 | Wanda Poteet | Nurse Practitioner | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2019-03-21 |
| 1467910836 | Latasha Miller | Psychologist | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2019-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952891053 | Miranda Wheeler | Counselor | 7524 Crater Lake Hwy, White City, OR 97503 | 2018-05-14 |
| 1932634599 | Annette Foster | Social Worker | 3905 Ave E, White City, OR 97503 | 2017-04-20 |
| 1881147791 | Christian Zal-herwitz | Psychologist | Va Southern Oregon Rehabilitation Center & Clinics, 8495 Crater Lake Hwy, White City, OR 97503 | 2016-07-27 |
| 1356627509 | Elise York | Massage Therapist | 8010 Brie Terrace, White City, OR 97503 | 2011-11-01 |
| 1679857551 | Emily E. Aldridge | Registered Nurse | Va Sorcc, 8495 Crater Lake Hwy, White City, OR 97503 | 2011-10-10 |
| 1538486519 | Matthew Ronald Becker | Physical Therapist | 8795 Crater Lake Ave, White City, OR 97503 | 2010-04-29 |
| 1003921453 | Rogue Rx Inc. | Pharmacy | 7591 A Crater Lake Hwy, Suite A, White City, OR 97503 | 2006-08-19 |
| 1962419259 | Marcus Mayfield | Nurse Practitioner | 8459 Crater Lake Highway, White City, OR 97503 | 2006-08-01 |
| 1831119825 | Steven E Brilliant | Internal Medicine | 8495 Crater Lake Highway, White City, OR 97503 | 2006-07-20 |
| 1417990177 | Carolyn Wecks Bartlett | Nurse Practitioner | 8594 Crater Lake Hwy, Southern Oregon Rehab Centers and Clinics, White City, OR 97503 | 2006-06-13 |
| Find all providers in zip 97503 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063927804 | Bettina Salfeld | Social Worker | 8495 Crater Lake Hwy Bldg 249, White City, OR 97503-3011 | 2017-12-01 |
| 1144864448 | Michael E Greer II | Social Worker | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2019-10-30 |
| 1518458652 | Faith Doyle | Social Worker | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2018-05-24 |
| 1639605702 | Annelise Marlene Weston | Social Worker | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2017-05-10 |
| 1265895767 | Amanda Icenhower | Social Worker | 8495 Crater Lake Hwy, 11cm, White City, OR 97503-3011 | 2016-04-01 |
| 1306255997 | Alexsandra Rigg | Social Worker | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2014-08-07 |
| 1477823896 | Dacarie Robertson | Social Worker | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2012-01-02 |
| 1649402546 | Cathi Christian Stegall | Social Worker | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2009-08-11 |
| 1376641514 | Colleen Corson | Social Worker | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2006-09-20 |
| 1134227408 | Mary K Garrett | Social Worker | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2006-09-20 |
| Find all providers in WHITE CITY | ||||
| City | WHITE CITY |
| Zip Code | 97503 |
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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.