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

MS. Kerry Ann Hicks, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1992371132

MS. Kerry Ann Hicks, MSW, LICSW is a Clinical Social Worker in Bemidji, Minnesota. Qualified in 2020, 6 years ago. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2021
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

516 Beltrami Ave NW
Bemidji, MN 56601-3010
Phone: (218) 760-7889
Fax: (888) 375-3627
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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 29617 (MN)

Record details

NPI number1992371132
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedMay 28, 2021
Last updated in NPPESMarch 1, 2023
Certification dateMarch 1, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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