DR. SAMUEL HICKSON PHD, LCSW, NPT-C
NPI 1083365589
Social Worker - Clinical in Henderson, NV
About Dr. Samuel Hickson Phd, Lcsw, Npt-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMUEL HICKSON PHD, LCSW, NPT-C (NPI 1083365589) is an individual clinical provider in Henderson, Nevada, licensed in Nevada (11811-C) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Las Vegas, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Samuel Hickson Phd, Lcsw, Npt-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Samuel Hickson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Las Vegas, NV 89117
- Reassigned Medicare billing, Nevada enrollment
- 11 clinicians in this Medicare group
Durham, NC 27701
- Reassigned Medicare billing, Nevada enrollment
- 77 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, Colorado and North Carolina enrollments
- 504 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 89052 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HENDERSON, NV 89052
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Samuel Hickson's NPI number?
The NPI number for Samuel Hickson is 1083365589. It was assigned to this individual provider in the NPPES registry on January 16, 2022.
Where is Samuel Hickson located?
Samuel Hickson practices at 2480 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052. The listed phone number is (702) 608-4220.
What is Samuel Hickson's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Samuel Hickson enrolled in Medicare?
Yes. Samuel Hickson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Samuel Hickson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Hickson reassigns Medicare benefits to 3 organizations: Bergdale & Hall, LLC (Las Vegas, NV), Mental Health Specialty Group PA (Durham, NC) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Hickson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samuel Hickson accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross and Blue Shield of NC and Select Health list Samuel Hickson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Samuel Hickson was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Samuel Hickson, PHD, LCSW, NPT-C · NPI 1083365589
Clinical provider in Henderson, Nevada. Individual provider, active in the CMS NPPES registry since January 16, 2022.
## Identity
- **NPI:** 1083365589 (Entity type: Individual)
- **Enumerated:** January 16, 2022
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 11811-C (Nevada)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2480 W HORIZON RIDGE PKWY STE 100, Henderson, NV 89052-2719
- **Phone:** (702) 608-4220
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Bergdale & Hall, LLC (NPI 1972814630, Las Vegas, NV); Mental Health Specialty Group PA (NPI 1801472634, Durham, NC); Grow Healthcare Group PA (NPI 1245845932, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** July 22, 2026
- **Other identifiers:** Other 11811-C (NV)
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Source: [NPI Profile](https://npiprofile.com/npi/1083365589) · Data from the CMS NPPES public registry.