Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Samuel Hickson, PHD, LCSW, NPT-C

Individual provider Clinical Social Worker · NPI 1083365589

Dr. Samuel Hickson, PHD, LCSW, NPT-C is a Clinical Social Worker in Henderson, Nevada. Qualified in 2021, 5 years ago. Practices with Bergdale and Hall LLC, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado, North Carolina and Nevada.

Years since qualifying
5
Licensed in
CO, NC, NV
In the registry since
2022
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
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

2480 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-2719
Phone: (702) 608-4220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6885 W Charleston Blvd, Las Vegas, NV 89117-1600 — (702) 608-4220

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 11811-C (NV)
Clinical Social Worker Taxonomy 1041C0700X · Licence CSW.09932242 (CO)
Clinical Social Worker Taxonomy 1041C0700X · Licence C019769 (NC)

Record details

NPI number1083365589
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , LCSW , NPT-C
Sole proprietorYes
NPI enumeratedJanuary 16, 2022
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Bergdale And Hall Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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