Provider Demographics
NPI:1205037462
Name:HICKS, CATHERINE DELBRIDGE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:DELBRIDGE
Last Name:HICKS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:LOLA
Other - Middle Name:CATHERINE
Other - Last Name:DELBRIDGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:406 FERN CT
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22408-1527
Mailing Address - Country:US
Mailing Address - Phone:540-898-1586
Mailing Address - Fax:
Practice Address - Street 1:406 FERN CT
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22408-1527
Practice Address - Country:US
Practice Address - Phone:540-898-1586
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040064471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical