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

Mr. Blaine Reuben Hickman

Individual provider Clinical Social Worker · NPI 1881822716

Mr. Blaine Reuben Hickman is a Clinical Social Worker in Layton, Utah. Qualified in 2010, 16 years ago. Registered with an NPI since 2009.

Years since qualifying
16
In the registry since
2009
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Practice location Address checks out

930 W Hill Field Rd #A
Layton, UT 84041-4662
Phone: (801) 336-3040
Fax: (801) 336-3041
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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

Record details

NPI number1881822716
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 30, 2009
Last updated in NPPESJune 30, 2009

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Layton