Individual
DR. SAMUEL HICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LCSW, NPT-C
Contact information
Practice address
2480 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052-2719
(702) 608-4220
Mailing address
6879 W CHARLESTON BLVD STE A, LAS VEGAS, NV 89117-1672
(702) 608-4220
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11811-C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11811-C
STATE OF NEVADA BOARD OF SOCIAL WORK
NV
Enumeration date
01/16/2022
Last updated
04/30/2025
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