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

Individual provider Clinical Social Worker · NPI 1730545047

Mrs. Jacqueline Hutchinson Hicks, LICSW is a Clinical Social Worker in Saint Paul, Minnesota. Qualified in 2011, 15 years ago. Practices with Emily Program P C, a 50-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
15
Licensed in
MN
In the registry since
2016
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

2265 Como Ave
Saint Paul, MN 55108-1737
Phone: (651) 645-5323
Fax: (651) 379-6141
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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 20934 (MN)

Record details

NPI number1730545047
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJanuary 4, 2016
Last updated in NPPESJanuary 4, 2016

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Emily Program P C — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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