Dr Samuel Hickson, PHD, LCSW, NPT-C in Henderson, NV - Medicare Clinical Social Worker Provider

Dr Samuel Hickson, PHD, LCSW, NPT-C is a medicare enrolled "Social Worker - Clinical" provider in Henderson, Nevada. He graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Bergdale And Hall Llc and his current practice location is 2480 W Horizon Ridge Pkwy Ste 100, Henderson, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 608-4220.

Dr Samuel Hickson is licensed to practice in Nevada (license number 11811-C) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083365589.

Contact Information

	Dr Samuel Hickson, PHD, LCSW, NPT-C
	2480 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052-2719
	(702) 608-4220
	Not Available

Map and Direction

Healthcare Provider's Profile

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.

Medical Education and Training:

Dr Samuel Hickson graduated from medical school in 2021

NPI Data:

NPI Number: 1083365589
Provider Enumeration Date: 01/16/2022
Last Update Date: 04/30/2025

Medicare PECOS Information:

PECOS PAC ID: 0749711216
Enrollment ID: I20241008002875

Medical Identifiers

Medical identifiers for Dr Samuel Hickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083365589	NPI	-	NPPES
11811-C	Other	NV	STATE OF NEVADA BOARD OF SOCIAL WORK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	11811-C (Nevada)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bergdale And Hall Llc	5698076602	4

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Samuel Hickson allows following entities to bill medicare on his behalf.

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

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Samuel Hickson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

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

Reviews and Comments

Social Worker in Henderson, NV

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
Daneisha Allison, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 W Sunset Rd Ste 102, Henderson, NV 89011 Phone: 725-241-5252
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
Olimpia A Dominguez Gutierrez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2480 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052 Phone: 702-608-4220
Kenzie Sage Robustelli, CADC-I Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 375 N Stephanie St Bldg 21, Henderson, NV 89014 Phone: 702-799-9710

Dr Samuel Hickson, PHD, LCSW, NPT-C - Medicare Clinical Social Worker in Henderson, NV