| Subricca Thjuana Hicks, LCSW | |
|
3601 Hilton Ave Ste 225, Columbus, GA 31904 | |
| (229) 669-2080 | |
| Not Available |
| Full Name | Subricca Thjuana Hicks |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 3601 Hilton Ave Ste 225, Columbus, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598925430 | NPI | - | NPPES |
| 514073675A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW003530 (Georgia) | Primary |
| Entity Name | Albany Area Primary Health Care, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780608992 PECOS PAC ID: 7911811922 Enrollment ID: O20040217000509 |
| Entity Name | Carenow Services, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770713117 PECOS PAC ID: 2163561259 Enrollment ID: O20091203000017 |
| Entity Name | Infinity Services Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164900858 PECOS PAC ID: 4981954781 Enrollment ID: O20180828003719 |
| Mailing Address | Practice Location Address |
|---|---|
| Subricca Thjuana Hicks, LCSW 4326 Braddock Dr, Columbus, GA 31907-5422 Ph: (229) 669-2080 | Subricca Thjuana Hicks, LCSW 3601 Hilton Ave Ste 225, Columbus, GA 31904 Ph: (229) 669-2080 |
Peggy S Baltimore, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2901 University Ave, Suite 38, Columbus, GA 31907 Phone: 706-565-0555 Fax: 706-565-0556 |
Ms. Deborah Jean Harrell, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3435 Cherokee Ave, Columbus, GA 31906 Phone: 706-544-3590 Fax: 706-544-4261 |
Tanja Mathis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 421 12th St, Columbus, GA 31901 Phone: 706-494-7776 Fax: 706-494-7076 |
Mr. David Earl Ebron, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2901 University Ave, Suite 35, Columbus, GA 31907 Phone: 706-563-8606 Fax: 706-563-8784 |
Kathryn Howard Davis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3228 University Ave Ste 108, Columbus, GA 31907 Phone: 706-279-0405 |
Carnell Greenfield Jr., Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 421 12th St, Columbus, GA 31901 Phone: 706-494-7776 Fax: 706-494-7076 |
Mr. Victor Lamont Crouch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3100 Gentian Boulevard, Suite 007l, Columbus, GA 31907 Phone: 404-229-7933 |