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

Individual provider Clinical Social Worker · NPI 1053860569

Diane Carol Hicks, LICSW is a Clinical Social Worker in Brattleboro, Vermont. Qualified in 2016, 10 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts and Vermont.

Years since qualifying
10
Licensed in
MA, VT
In the registry since
2016
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

54 Harris Pl Ste 105
Brattleboro, VT 05301-6709
Phone: (413) 345-8974
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 089.0134696 (VT)
Clinical Social Worker Taxonomy 1041C0700X · Licence 125489 (MA)

Record details

NPI number1053860569
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedSeptember 26, 2016
Last updated in NPPESSeptember 19, 2022
Certification dateSeptember 19, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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