EBONY HICKS (NPI# 1063983781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063983781 |
| Entity Type | Individual |
| Full Name | EBONY HICKS |
| Other Name | EBONY THOMPSON |
| Credential | LLBSW |
| Practice Address |
1200 N West Ave Ste 300 Jackson MI 49202-2180 |
| Mailing Address |
25 Care Dr Ste 231 Hillsdale MI 49242-5054 |
| Practice Telephone | 5177891234 |
| Practice Fax Number | 5177407040 |
| Mailing Telephone | 5174392609 |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2018-12-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 6802089866 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477953164 | Ebony Renee Hicks | Counselor | 3723 Elmora Avenue, Baltimore, MD 21213 | 2014-08-29 |
| 1043695075 | Ebony A Hicks | Counselor | 22790 Sw 112th Ave, Miami, FL 33170-7602 | 2015-07-20 |
| Street Address |
1200 N WEST AVE STE 300 |
| City | JACKSON |
| State | MI |
| Zip Code | 49202-2180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447436662 | Kyle Lee Rasmussen | Counselor | 1200 N West Ave Ste 300, Jackson, MI 49202-2180 | 2008-01-17 |
| 1275147894 | Sulafa Hassan Elshowaya | Dietitian, Registered | 1200 N West Ave Ste 300, Jackson, MI 49202-2180 | 2020-09-01 |
| 1720605694 | Shelby Leigh Havens | Social Worker | 1200 N West Ave Ste 300, Jackson, MI 49202-2180 | 2020-06-26 |
| 1497397046 | Jasmine Erica Jones | Social Worker | 1200 N West Ave Ste 300, Jackson, MI 49202-2180 | 2019-10-16 |
| 1538718721 | Olivia Jewell | Counselor | 1200 N West Ave Ste 300, Jackson, MI 49202-2174 | 2019-09-10 |
| 1922656826 | Lauren Alexandria Steers | Counselor | 1200 N West Ave Ste 300, Jackson, MI 49202-2180 | 2019-09-04 |
| 1184288433 | Nathan Michael Horton | Social Worker | 1200 N West Ave Ste 300, Jackson, MI 49202-2180 | 2019-04-23 |
| 1376008045 | Roxanne Waldron | Social Worker | 1200 N West Ave Ste 300, Jackson, MI 49202-2180 | 2019-02-06 |
| 1104393792 | Shayla Nicole Mccray | Social Worker | 1200 N West Ave Ste 300, Jackson, MI 49202-2180 | 2018-11-01 |
| 1528551371 | Riley Caudill Cornelison | Social Worker | 1200 N West Ave Ste 300, Jackson, MI 49202-2174 | 2018-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821590316 | Leslie Dominique Barroso | Social Worker | 834 Kennedy St, Jackson, MI 49202 | 2018-03-01 |
| 1073011136 | Nicole Szarek | Social Worker | 1200 N. West Ave, Jackson, MI 49202 | 2018-01-24 |
| 1598299430 | Cedric Griffin | Behavior Technician | 950 W. Monroe St, Jackson, MI 49202 | 2017-04-18 |
| 1285081612 | Patricia Decker | Psychologist | 950 West Monroe, Suite 500, Jackson, MI 49202 | 2016-05-16 |
| 1619344314 | Erica Ries | Social Worker | 1200 N West Ave Ste 800, Jackson, MI 49202 | 2015-08-28 |
| 1184007189 | Sarah Johnson | Behavioral Analyst | 818 Winifred St, Jackson, MI 49202 | 2015-07-08 |
| 1871971697 | Scott A Watterson Dds, Pllc | Dentist | 1030 Laurence Ave, Suite 3, Jackson, MI 49202 | 2015-05-13 |
| 1043608680 | Brenda Beverly | Counselor | 1190 West, 1190 West Suite 812, Jackson, MI 49202 | 2015-01-06 |
| 1295091593 | Natalie Ann Kember | Social Worker | 1206 Clinton, Jackson, MI 49202 | 2012-04-11 |
| 1912218728 | Tina Marie Pierce | Respite Care | 225 N Wisner St, Jakson, MI 49202 | 2010-06-25 |
| Find all providers in zip 49202 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989612 | Rhonda Bufkin | Social Worker | 405 Briarwood Dr Ste 302, Jackson, MS 39206-3052 | 2020-10-13 |
| 1023645884 | Cycle of Life Support Community Health Services LLC | Social Worker | 1520 E Ganson St, Jackson, MI 49202-3530 | 2020-03-23 |
| 1669006532 | Alexis Holly | Social Worker | 405 Briarwood Dr # 302, Jackson, MS 39206-3052 | 2020-02-28 |
| 1609418250 | Ashley Frascella | Social Worker | 13 Parkhill St, Jackson, NJ 08527-3737 | 2019-10-16 |
| 1104475268 | Valerie Baker | Social Worker | 172 W University Pkwy Ste A, Jackson, TN 38305-1622 | 2019-09-10 |
| 1548815863 | Lily Kovach | Social Worker | 6552 Smith Rd, Jackson, MI 49201-9612 | 2019-08-04 |
| 1285298513 | Kyla Milan Washington | Social Worker | 950 W Monroe St Ste 600a&b, Jackson, MI 49202-2079 | 2019-04-22 |
| 1639630551 | Pamela Stalter-o'neil | Social Worker | 5572 Viking Dr, Jackson, MI 49201-8815 | 2019-03-26 |
| 1407316284 | Yvonne Vieira Moffett | Social Worker | 950 W Monroe St Ste A&600b, Jackson, MI 49202-2079 | 2019-03-20 |
| 1710458419 | Jasmine Grace Walker | Social Worker | 338 Galvez St, Jackson, MS 39209-3903 | 2018-12-06 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.