Hickman, Amalie B
Hickman, Amalie B is an individual health care provider with primary practice located at 26491 Inverness Dr Ste 201 , South Bend IN 46628-9279. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hickman, Amalie B can be contacted via phone (219) 851-3500.Contact Information
Primary practice address
26491 Inverness Dr Ste 201
South Bend IN 46628-9279
Phone: (219) 851-3500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34006069A | Indiana |
Profile Details
| NPI number | 1295917656 |
|---|---|
| LBN Legal business name | Hickman, Amalie B |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2007 |
| Last updated | Oct 25th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295917656 | NPPES |
| Kansas | MEDICAID | 100163580 |
Popular Providers
-
Bondi, Kathleen A
403 E Madison St , South Bend IN 46617-2322 -
Snell, Mark V
403 E Madison St , South Bend IN 46617-2322 -
Schulz, Cindy S
403 E Madison St , South Bend IN 46617-2322 -
Willoughby, Lawrence Carlson
403 E Madison St , South Bend IN 46617-2322 -
Coffey, Phillip
403 E Madison St , South Bend IN 46617-2322 -
Welling, Angela M
415 E Madison St , South Bend IN 46617-2322 -
Finley, Barbara A
150 W Angela Blvd , South Bend IN 46617-1101 -
Yarger, Ruth Anketell
403 E Madison St , South Bend IN 46617-2322