National Provider Identifier
David Graham Hickson, LCSWR
David Graham Hickson, LCSWR is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 234-0018.
Profile Overview
- NPI
- 1497883557
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- March 01, 2007
- Last Updated
- July 09, 2007
Practice Location
- 550 Latona RD
- Watona Office Campus Bldg B Davd Hickson Lcswr
- Rochester, NY 14626
Phone: (585) 234-0018
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1497883557
- Entity Type
- Individual
- Last Name
- Hickson
- First Name
- David
- Middle Name
- Graham
- Name Prefix
- Mr.
- Credential
- LCSWR
- Mailing Street Address
- 550 Latona RD
- Mailing Address Line 2
- Watona Office Campus Bldg B Davd Hickson Lcswr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626
- Mailing Country
- US
- Mailing Phone
- (585) 234-0018
- Mailing Fax
- (585) 697-2078
- Practice Street Address
- 550 Latona RD
- Practice Address Line 2
- Watona Office Campus Bldg B Davd Hickson Lcswr
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626
- Practice Country
- US
- Practice Phone
- (585) 234-0018
- Practice Fax
- (585) 697-2078
- Enumeration Date
- March 01, 2007
- Last Updated
- July 09, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- 11409040 (Aetna Caqh), 11409040 (Caqh)