# SAMMI'S CORNER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hicksons By Sammi
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548189764
- **Authorized official:** DR. SAMUEL JAVAR HICKSON PHD, LCSW, NPT-C (OWNER/FOUNDER)
- **Authorized official phone:** (702) 265-7427

## Contact information

- **Practice address:** 1070 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89012-6019
- **Practice address phone:** (702) 479-6319
- **Practice address fax:** (725) 280-5343
- **Mailing address:** 1070 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89012-6019
- **Mailing address phone:** (702) 479-6319
- **Mailing address fax:** (725) 280-5343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 07/13/2026
- **Last updated:** 07/13/2026