DR. COLETTE HICKMAN-EVANS LCSW, PHD
NPI 1386191690
Social Worker - Clinical in Pleasant Grove, UT

Q: What is Colette Hickman-evans's NPI number?

The NPI number for Colette Hickman-evans is 1386191690. It was assigned to this individual provider in the NPPES registry on September 2, 2016.

Q: What is Colette Hickman-evans's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: Is Colette Hickman-evans enrolled in Medicare?

No. Colette Hickman-evans has opted out of Medicare through May 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since September 02, 2016Opted out of Medicare · through May 20, 2028

481 E 1000 S STE D, PLEASANT GROVE, UT 84062(801) 899-2559 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Colette Hickman-evans Lcsw, Phd NPPES

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

DR. COLETTE HICKMAN-EVANS LCSW, PHD (NPI 1386191690) is an individual clinical provider in Pleasant Grove, Utah, licensed in Utah (10500203-3501) and active in the NPI registry since September 2016. She has opted out of Medicare through May 20, 2028.

NPPES Registry Identity

NPI1386191690

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameDR. COLETTE HICKMAN-EVANSCredential: LCSW, PHD

Location Address481 E 1000 S STE DPleasant Grove, UT 84062-3716

Mailing Address481 E 1000 S Ste DPleasant Grove, UT 84062-3716 · (801) 899-2559

Phone(801) 899-2559

Sole ProprietorNo

Enumeration DateSeptember 2, 2016

Last NPPES UpdateJanuary 14, 2025

NPPES CertifiedJanuary 14, 2025

✔ NPI 1386191690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in UT · 10500203-3501

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

481 E 1000 S STE D, Pleasant Grove, UT 84062

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Colette Hickman-evans Lcsw, Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 20, 2024 through May 20, 2028.

Opt-Out Effective DateMay 20, 2024

Opt-Out In Effect ThroughMay 20, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

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

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