DEBORAH JEAN HICKS (NPI# 1417002502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417002502 |
| Entity Type | Individual |
| Full Name | DEBORAH JEAN HICKS |
| Credential | CDP |
| Practice Address |
909 Se Everett Mall Way Suite C-364 Everett WA 98208-3746 |
| Mailing Address |
7203 Upper Ridge Rd Everett WA 98203-4908 |
| Practice Telephone | 4253496240 |
| Mailing Telephone | 4253871396 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
C00005483 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407883465 | Deborah Sykes Hicks | Social Worker | 6130a Madison Ave, Carmichael, CA 95608-0734 | 2006-06-27 |
| 1063948180 | Deborah Anne Hicks | Social Worker | 55 Hope St, Providence, RI 02906-2001 | 2017-05-10 |
| 1891188850 | Deborah Hicks | Nurse Practitioner | 2165 Medical Park Dr, Hickory, NC 28602-8809 | 2015-03-13 |
| 1467773515 | Deborah L. Hicks | Speech-Language Pathologist | 1895 Orange Tree Ln Ste 102, Redlands, CA 92374-0112 | 2010-06-11 |
| 1366647125 | Deborah Hicks | Licensed Practical Nurse | 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 | 2007-06-20 |
| 1184665366 | Deborah Cornwall Hicks | Dietitian, Registered | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2006-06-09 |
| Street Address |
909 SE EVERETT MALL WAY SUITE C-364 |
| City | EVERETT |
| State | WA |
| Zip Code | 98208-3746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609935857 | Yuriy Vladimirovich Bagdasarov | Dentist | 909 Se Everett Mall Way, B 250, Everett, WA 98208-3746 | 2006-12-06 |
| 1679970065 | M&vj Enterprise 1, Inc | In Home Supportive Care | 909 Se Everett Mall Way, Suite C319, Everett, WA 98208-3746 | 2014-12-01 |
| 1508201732 | Family Group Dental Inc | Clinic/Center | 909 Se Everett Mall Way, B-250, Everett, WA 98208 | 2013-05-01 |
| 1477726164 | Roger W. Herbst | Chiropractor | 909 Se Everett Mall Way, Suite C 310, Everett, WA 98208-3746 | 2008-04-02 |
| 1811030414 | Farrell D Prete | Dentist | 909 Se Everett Mall Way, Suite C-312, Everett, WA 98208-3746 | 2007-02-14 |
| 1144376211 | Robert Roland Sharer | Counselor | 909 Se Everett Mall Way, Ste C364, Everett, WA 98208-3746 | 2007-01-25 |
| 1255486619 | Melissa Jane Morgan | Counselor | 909 Se Everett Mall Way, Suite C364, Everett, WA 98208-3746 | 2007-01-24 |
| 1275686917 | Dee Pender | Counselor | 909 Se Everett Mall Way, Everett, WA 98208-3746 | 2007-01-18 |
| 1326102278 | Focus, Npo | Counselor | 909 Se Everett Mall Way, Suite C-364, Everett, WA 98208-3746 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790270296 | Kenneth Britt Dyer | Registered Nurse | 10333 19th Ave, Se, Ste #109, Everett, WA 98208 | 2018-06-27 |
| 1518482215 | Glacier Peak Healthcare, Inc. | Home Health | 10530 19th Ave Se Ste 201, Everett, WA 98208 | 2017-08-03 |
| 1114454865 | Aliza Kreisman | Registered Nurse | 11020 19th Avenue Se, Kaiser Permanente of Washington Seattle Care Clinic, Everett, WA 98208 | 2017-05-12 |
| 1902269418 | Clay Eakin | Counselor | 2732 Grand Evenue, Everett, WA 98208 | 2016-04-01 |
| 1467810259 | Elizabeth Anne Powley | Marriage & Family Therapist | 1920 100th Street Southeast, Bld C3, Everett, WA 98208 | 2016-02-08 |
| 1659745842 | Andrea Rose Bedlington | Pharmacist | 11407 33rd Dr. Se, Everett, WA 98208 | 2015-11-25 |
| 1396123865 | Sound Surgeons Pllc | Clinic/Center | 125 130th Street Se, 1st Floor, Everett, WA 98208 | 2015-05-15 |
| 1831576537 | Chris Sturgeon | Counselor | 10102 Meridian Ave, Everett, WA 98208 | 2015-05-01 |
| 1982011128 | James M Lee | Physical Therapist | 10821 19th Ave Se Ste 102, Everett, WA 98208 | 2014-07-21 |
| 1972937357 | Ronald Tracy | Dentist | 10315 19th Avenue Se Suite 110, Everett, WA 98208 | 2013-08-21 |
| Find all providers in zip 98208 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124664172 | Deidre Michelle Greene | Counselor | 13105 21st Dr Se Apt E307, Everett, WA 98208-7173 | 2019-11-25 |
| 1356859623 | Victor Cleveland | Counselor | 10315 19th Ave Se Ste 112, Everett, WA 98208-4268 | 2018-01-19 |
| 1386155893 | Kristin Zarrello | Counselor | 11008 20th Dr Se, Everett, WA 98208-5241 | 2017-10-24 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1619401973 | David Alexander | Counselor | 10905 3rd Ave Se, Everett, WA 98208-7020 | 2017-04-13 |
| 1982152955 | Adekunbi Afusat Olukoya | Counselor | 8625 Evergreen Way Ste 108, Everett, WA 98208-2647 | 2016-09-19 |
| 1588012694 | Tammy J Laird | Counselor | 9300 Evergreen Way, Everett, WA 98204 | 2016-05-31 |
| 1902269418 | Clay Eakin | Counselor | 2732 Grand Evenue, Everett, WA 98208 | 2016-04-01 |
| 1891157798 | Pamela Hubbard | Counselor | 3501 Colby Ave Ste 105, Everett, WA 98201-4795 | 2016-03-22 |
| 1881052280 | Jolene Eva Janacek | Counselor | 1811 Mcdougall Ave, Everett, WA 98201-2456 | 2016-02-01 |
| Find all providers in EVERETT | ||||
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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.