Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bethany Jo Hicks, LCSW

Individual provider Clinical Social Worker · NPI 1598319675

Bethany Jo Hicks, LCSW is a Clinical Social Worker in Haiku, Hawaii. Qualified in 2014, 12 years ago. Practices with Sondermind Provider Network LLC, a 1,258-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and Hawaii.

Years since qualifying
12
Licensed in
CO, HI
In the registry since
2019
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

651 Kauhikoa Rd
Haiku, HI 96708-4805
Phone: (970) 214-7735
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 280 Exempla Cir, Lafayette, CO 80026-3370 — (303) 338-4545

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW.9924978 (CO)
Clinical Social Worker Taxonomy 1041C0700X · Licence LCSW-4420 (HI)

Record details

NPI number1598319675
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 28, 2019
Last updated in NPPESApril 19, 2024
Certification dateApril 19, 2024
Mailing addressPo Box 331371, Kahului, HI 96733-1371

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Sondermind Provider Network Llc — 1258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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