NPI 1053860569

Diane Carol Hicks, LICSW

Practitioner Clinical Social Worker Brattleboro, VT

Practice location

Address: 54 Harris Pl STE 105, Brattleboro, VT 05301-6709
Phone: (413) 345-8974
Mailing address: 228 Steady Ln, Ashfield, MA 01330-9724

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 089.0134696 (VT)

Other Social Worker providers in Vermont →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 125489 (MA)

Registry record

NPI: 1053860569
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Sep 2016
Record last updated: 19 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.