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

Ellington Kennedy Hicks II, LLMSW

Individual provider Clinical Social Worker · NPI 1942785936

Ellington Kennedy Hicks II, LLMSW is a Clinical Social Worker in Waterford, Michigan. Works from 3 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2018
Specialties on file
2

Practice location Address checks out

1255 N Oakland Blvd
Waterford, MI 48327-1545
Phone: (248) 406-0104
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2925 Russell St, Detroit, MI 48207-4825 — (313) 986-9730
  • 882 Oakman Blvd, Detroit, MI 48238-3710 — (313) 961-4890

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801102874 (MI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 6851102874 (MI)

Record details

NPI number1942785936
Entity typeIndividual (Type 1)
GenderMale
Credentials LLMSW
Sole proprietorNo
NPI enumeratedSeptember 26, 2018
Last updated in NPPESFebruary 26, 2025
Certification dateFebruary 26, 2025

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