| Robbie Hickman, LMHC | |
|
215 E Washington, Clarinda, IA 51632 | |
| (712) 542-3501 | |
| (712) 542-4725 |
| Full Name | Robbie Hickman |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 215 E Washington, Clarinda, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790873982 | NPI | - | NPPES |
| 6576020 | Other | SD | SD MEDICAID |
| 245687 | Other | MIDLANDS CHOICE | |
| 490124599 | Medicaid | MO | |
| 783456000 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 00888 (Iowa) | Primary |
| Entity Name | Southwest Iowa Families Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689762882 PECOS PAC ID: 7315840428 Enrollment ID: O20040128000167 |
| Mailing Address | Practice Location Address |
|---|---|
| Robbie Hickman, LMHC 215 E Washington, Clarinda, IA 51632 Ph: (712) 542-3501 | Robbie Hickman, LMHC 215 E Washington, Clarinda, IA 51632 Ph: (712) 542-3501 |
Vunita Iske, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 N 16th St, Clarinda, IA 51632 Phone: 712-542-4481 | |
Mrs. Kathleen Lynn Gillespie-jensen, MA, MS, TLMHC Counselor Medicare: Medicare Enrolled Practice Location: 215 E Washington St, Clarinda, IA 51632 Phone: 712-542-3501 Fax: 712-542-4725 | |
Jessica Coburn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 E Washington St, Clarinda, IA 51632 Phone: 712-542-3501 | |
Andrea Gomez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 216 W Division St, Clarinda, IA 51632 Phone: 712-542-2388 Fax: 712-542-2984 | |
Amber Nichole Butt, LMHC, CADC Counselor Medicare: Medicare Enrolled Practice Location: 1820 N 16th St, Clarinda, IA 51632 Phone: 712-542-3103 | |
Tara Keller, L.M.H.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 N 16th St, Suite 1, Clarinda, IA 51632 Phone: 712-542-2388 Fax: 712-542-2984 | |
Danielle Schalk, TLMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1820 N 16th St, Clarinda Academy, Clarinda, IA 51632 Phone: 712-542-3103 |