DOMINIQUE LEEANN HICKMAN (NPI# 1518497403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518497403 |
| Entity Type | Individual |
| Full Name | DOMINIQUE LEEANN HICKMAN |
| Credential | LCSW |
| Practice Address |
501 E Green Dr High Point NC 27260 |
| Mailing Address |
117 Meadowood St Apt E Greensboro NC 27409-2357 |
| Practice Telephone | 3366417654 |
| Practice Fax Number | 3366413210 |
| Mailing Telephone | 3364939875 |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2019-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C012368 | NC | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
P011631 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 501 E Green Dr, High Point, NC 27260 | 3366417654 | 3366413210 |
| Street Address |
501 E GREEN DR |
| City | HIGH POINT |
| State | NC |
| Zip Code | 27260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467479493 | Constance Arnettres Epps | Dentist | 501 E Green Dr, High Point, NC 27260-6707 | 2006-07-16 |
| 1144827189 | Kristin Lackey Murphy | Clinical Nurse Specialist | 501 E Green Dr, High Point, NC 27260-6707 | 2020-10-02 |
| 1376161042 | Stephanie Y Shytle | Registered Nurse | 501 E Green Dr, High Point, NC 27260-6707 | 2020-07-09 |
| 1023659158 | Cemona L Miller | Registered Nurse | 501 E Green Dr, High Point, NC 27260-6707 | 2019-09-30 |
| 1831749803 | Sharon Ricketts | Registered Nurse | 501 E Green Dr, High Point, NC 27260-6707 | 2019-09-12 |
| 1730733080 | Shakenna Bass | Nurse Practitioner | 501 E Green Dr, High Point, NC 27260-6700 | 2019-07-25 |
| 1053976357 | Ann Elizabeth Barber | Registered Nurse | 501 E Green Dr, High Point, NC 27260-6707 | 2019-05-02 |
| 1972168284 | Susan Householder | Registered Nurse | 501 E Green Dr, High Point, NC 27260-6707 | 2019-05-02 |
| 1457810905 | Teresa Payne | Registered Nurse | 501 E Green Dr, High Point, NC 27260-6707 | 2019-03-14 |
| 1942766886 | Watina D Gibbs | Obstetrics & Gynecology | 501 E Green Dr, High Point, NC 27260-6707 | 2019-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699291559 | Family Primary Care Pllc | Family Medicine | 200 Greensboro Rd, High Point, NC 27260 | 2017-08-22 |
| 1104102854 | Latoya Natasha Seward | Registered Nurse | 501 East Green Drive, High Point, NC 27260 | 2011-10-26 |
| 1053610170 | Anjanette Miles Thompson | Registered Nurse | 501 E Green Street, High Point, NC 27260 | 2011-03-16 |
| 1043477862 | Adrienne Ellison | Speech-Language Pathologist | 1315 Old Greensboro Rd, High Point, NC 27260 | 2008-05-20 |
| 1831398940 | Kelly Dailey Hall | Speech-Language Pathologist | 109 Penny Road, Greensboro, NC 27260 | 2007-07-18 |
| 1710100078 | Power & Praise Tabernacle | Custodial Care Facility | 807 Vail Ave, High Point, NC 27260 | 2007-04-11 |
| 1356484075 | Judd Andrew Caudell | Physician Assistant | 501 East Greene Street, Guilford County Health Department, High Point, NC 27260 | 2007-02-14 |
| 1598775751 | Piedmont Triad Ambulance & Rescue Inc | Ambulance | 901 S Elm St, High Point, NC 27260 | 2006-08-09 |
| 1467911982 | Elizabeth Quiroz | Registered Nurse | 501 E Greene Dr, High Point, NC 27260 | 2019-03-14 |
| 1740721927 | Rachel Conner | Physical Therapist | 1315 Greensboro Rd, High Point, NC 27260 | 2017-03-20 |
| Find all providers in zip 27260 | ||||
| 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 |
|---|---|---|---|---|
| 1295390862 | Anna Luisa Arreola | Social Worker | 1208 Eastchester Dr Ste 200, High Point, NC 27265-3165 | 2019-05-08 |
| 1558831503 | Coleman Care Services | Social Worker | 1840 Eastchester Dr Ste 100, High Point, NC 27265-1496 | 2018-12-03 |
| 1528412087 | Johnette Walser | Social Worker | 2411 Penny Road, Suite 102, High Point, NC 27265 | 2016-04-20 |
| 1487043097 | Kellie Moran | Social Worker | 1318 Kentucky St, High Point, NC 27262-7325 | 2015-01-20 |
| 1790192029 | Ryan David Wiese | Social Worker | 1600 Stoneybrook Dr, High Point, NC 27265-2499 | 2014-07-18 |
| 1275889990 | Jessica Salinis Thomas | Social Worker | 1208 Eastchester Dr Ste 107, High Point, NC 27265-3066 | 2012-07-31 |
| 1629389986 | Suzette Marie Hager | Social Worker | 3017 Wellingford Dr, High Point, NC 27265-2240 | 2010-07-01 |
| 1750520326 | Tiffany M. Lee | Social Worker | 6310 Long Leaf Ct, Apt. 3d, High Point, NC 27265-6009 | 2009-02-05 |
| 1750554770 | Angela Quinlivan Cowell | Social Worker | 890 Hedgepath Ter, High Point, NC 27265-3296 | 2008-04-10 |
| 1023290285 | Melanee Kelley-kahl | Social Worker | 1401 Long St., High Point, NC 27262 | 2007-11-29 |
| Find all providers in HIGH POINT | ||||
| City | HIGH POINT |
| Zip Code | 27260 |
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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.