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Contact Information

KEN W HICKS, LCSW LAT NCAC II SAP
336 S JACKSON
CASPER, WY82601
 Phone: 307-265-2555
 Fax: 307-237-1259
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for KEN W HICKS · (Male)

NPI # 1609940329
Status Active
Credentials LCSW LAT NCAC II SAP
Entity Individual
Enumeration date 11/17/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • WY License # LAT157
  • WY License # LCSW011
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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