Provider Demographics
NPI:1861287260
Name:SCOTT-HICKS, REBRAUN AMON
Entity type:Individual
Prefix:
First Name:REBRAUN
Middle Name:AMON
Last Name:SCOTT-HICKS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30121 BLADEN DR
Mailing Address - Street 2:
Mailing Address - City:MILLSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19966-7585
Mailing Address - Country:US
Mailing Address - Phone:484-889-1748
Mailing Address - Fax:
Practice Address - Street 1:30121 BLADEN DR
Practice Address - Street 2:
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966-7585
Practice Address - Country:US
Practice Address - Phone:484-889-1748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical