| Dr Samuel Hickson, PHD, LCSW, NPT-C | |
|
2480 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052-2719 | |
| (702) 608-4220 | |
| Not Available |
| Full Name | Dr Samuel Hickson |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 5 Years |
| Location | 2480 W Horizon Ridge Pkwy Ste 100, Henderson, Nevada |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083365589 | NPI | - | NPPES |
| 11811-C | Other | NV | STATE OF NEVADA BOARD OF SOCIAL WORK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 11811-C (Nevada) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bergdale And Hall Llc | 5698076602 | 6 |
| Entity Name | Bergdale & Hall Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972814630 PECOS PAC ID: 5698076602 Enrollment ID: O20161024001598 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Samuel Hickson, PHD, LCSW, NPT-C 6879 W Charleston Blvd Ste A, Las Vegas, NV 89117-1672 Ph: (702) 608-4220 | Dr Samuel Hickson, PHD, LCSW, NPT-C 2480 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052-2719 Ph: (702) 608-4220 |
Jade Sunshine Schultz, LMSW, CSW-I Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 375 N Stephanie St Bldg 21, Henderson, NV 89014 Phone: 702-799-9710 | |
Ms. Georgene Rea, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 45 Avenida Arenas, Henderson, NV 89074 Phone: 702-813-7757 | |
Justin Lamb, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1887 Whitney Mesa Dr Unit 7931, Henderson, NV 89014 Phone: 702-337-2892 | |
Erika A Barbour, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 375 N Stephanie St, Henderson, NV 89014 Phone: 702-799-7910 | |
Lorenthia Clayton, CSW-I Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 375 N Stephanie St Bldg 21, Henderson, NV 89014 Phone: 702-934-4111 | |
Jessica Marie Colarco, MSW, CSW INTERN Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1771 Quiver Point Ave, Henderson, NV 89012 Phone: 702-379-6105 | |
Miss Robyn M Sottile, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2200 Paseo Verde Pkwy Ste 190, Henderson, NV 89052 Phone: 702-589-4871 |