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Contact Information

DAVID G HICKSON, LCSWR
550 LATONA RD
WATONA OFFICE CAMPUS BLDG B DAVD HICKSON LCSWR
ROCHESTER, NY14626
 Phone: 585-234-0018
 Fax: 585-697-2078
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for DAVID G HICKSON · (Male)

NPI # 1497883557
Status Active
Credentials LCSWR
Entity Individual
Enumeration date 03/01/2007
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # R0626261
  • Other 11409040 AETNA CAQH
  • Other 11409040 CAQH
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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