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

Larry Hickman

Individual provider Counselor · NPI 1073107132

Larry Hickman is a Counselor in Oakland, California. Works from 4 locations. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
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Practice location Address checks out

11 Embarcadero W Ste 136
Oakland, CA 94607-4500
Phone: (510) 467-4250
Fax: (510) 259-9090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 3636 Camino Del Rio N Ste 150, San Diego, CA 92108-1709 — (760) 983-3578
  • 51 Elda Dr, San Rafael, CA 94903-3723 — (510) 467-4250
  • 1089 Lea Dr, San Rafael, CA 94903-3746 — (510) 467-4250

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Counselor Taxonomy 101Y00000X

Record details

NPI number1073107132
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 1, 2021
Last updated in NPPESSeptember 12, 2023
Certification dateSeptember 12, 2023

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