Taryn Danielle Hicks | Las Vegas, NV • PECOS Search

Taryn Danielle Hicks

Social Worker

Behavioral Health & Social Service Providers

1515 E Tropicana Ave Ste 580, Las Vegas, NV 89119-6517

(702) 898-5311 (702) 580-8476

PECOS Enrollment

Based on the most recent information from CMS, provider Taryn Danielle Hicks does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1528700473
Provider Type
Individual
Full Name
Hicks, Taryn Danielle
Credential
CSW-INTERN

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/11/2022
Last Updated
4/11/2022

Contact Information

Practice Location

1515 E Tropicana Ave Ste 580, Las Vegas, NV 89119-6517

(702) 222-3275

Mailing Location

8528 Myrsine Ct, Las Vegas, NV 89149-0222

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License IC-1926 Nevada