Michael Lee Hickman, CDCA is a
Social Worker based in Waverly, Ohio. Michael Lee Hickman is licensed to practice in * (Not Available) (license number ) and his current practice location is
14574 Us Highway 23, Waverly, Ohio. He can be reached at his office (for appointments etc.) via phone at
(740) 912-9093.
NPI number for Michael Lee Hickman is 1699203752 and his current mailing address is 17 Auerville Rd, Bainbridge, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699203752.
Healthcare Provider's Profile
| Full Name | Michael Lee Hickman |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker |
|---|
| Location | 14574 Us Highway 23, Waverly, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1699203752
- Provider Enumeration Date: 06/01/2017
- Last Update Date: 08/14/2025
Medical Identifiers
Medical identifiers for Michael Lee Hickman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699203752 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 162832 (Ohio) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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. Michael Lee Hickman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Michael Lee Hickman, CDCA
17 Auerville Rd,
Bainbridge, OH 45612-9634
Ph: (740) 600-4630 | Michael Lee Hickman, CDCA
14574 Us Highway 23,
Waverly, OH 45690-9373
Ph: (740) 912-9093 |
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