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DWAYNE HICKS LADC
NPI 1225373400
Counselor - Mental Health in New Brighton, MN

Active since November 29, 2012
1900 SILVER LAKE RD NW, SUITE 110, NEW BRIGHTON, MN 55112(651) 628-9566(651) 628-0411 Get Directions Write a Review

NPPES record last updated: November 29, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dwayne Hicks Ladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DWAYNE HICKS LADC (NPI 1225373400) is an individual mental health provider in New Brighton, Minnesota, licensed in Minnesota (302645) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1225373400
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDWAYNE HICKSCredential: LADC
Location Address1900 SILVER LAKE RD NW, SUITE 110New Brighton, MN 55112-1786
Mailing Address1900 Silver Lake Rd Nw, Suite 110New Brighton, MN 55112-1786 · (651) 628-9566 · Fax (651) 628-0411
Phone(651) 628-9566
Fax(651) 628-0411
Sole ProprietorNo
Enumeration DateNovember 29, 2012
✔ NPI 1225373400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · 302645
1900 SILVER LAKE RD NW, New Brighton, MN 55112
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BETHANY GAVIC MSW, LICSW
Social Worker (Clinical)
1900 SILVER LAKE RD NW, SUITE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
JENNIFER PERRI
Marriage & Family Therapist
1900 SILVER LAKE RD NW, SUITE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
NATHAN HOCKERT
Physician Assistant (Medical)
1900 SILVER LAKE RD NW
NEW BRIGHTON, MN 55112
Ramsey County (165) 162-8956
JACK LESLIE HINRICHS MA, LMFT
Marriage & Family Therapist
1900 SILVER LAKE RD NW, SUITE110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
KATHLEEN ANN SPIRY LICSW
Social Worker (Clinical)
1900 SILVER LAKE RD NW, SUITE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
KRISTEN MCLESKEY
Counselor (Mental Health)
1900 SILVER LAKE RD NW, SUITE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
AMANDA LOUISE WEGNER BS
Counselor (Mental Health)
1900 SILVER LAKE RD NW
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9556
DAVID KEARN
Psychologist (Clinical)
1900 SILVER LAKE RD NW, #110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566

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 Dwayne Hicks's NPI number?

The NPI number for Dwayne Hicks is 1225373400. It was assigned to this individual provider in the NPPES registry on November 29, 2012.

Where is Dwayne Hicks located?

Dwayne Hicks practices at 1900 Silver Lake Rd NW Suite 110, New Brighton, MN 55112. The listed phone number is (651) 628-9566.

What is Dwayne Hicks's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Dwayne Hicks was last updated on November 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.