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AIMEE BENTON WICKERSHAM LCSW
NPI 1104426204
Social Worker - Clinical in Goodyear, AZ

Active since October 28, 2020PECOS Enrolled
15593 W MACKENZIE DR, GOODYEAR, AZ 85395(321) 961-3393 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Aimee Benton Wickersham Lcsw NPPES

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

AIMEE BENTON WICKERSHAM LCSW (NPI 1104426204) is an individual clinical provider in Goodyear, Arizona, licensed in Arizona (LCSW-18914) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104426204
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAIMEE BENTON WICKERSHAMCredential: LCSW
Location Address15593 W MACKENZIE DRGoodyear, AZ 85395-7779
Mailing Address15593 W Mackenzie DrGoodyear, AZ 85395-7779 · (321) 961-3393
Phone(321) 961-3393
Sole ProprietorYes
Enumeration DateOctober 28, 2020
NPPES CertifiedOctober 28, 2020
✔ NPI 1104426204 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 AZ · LCSW-18914
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.
15593 W MACKENZIE DR, Goodyear, AZ 85395
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna HealthCare of Arizona, Inc, Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aimee Benton Wickersham Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Aimee Wickersham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Teri's Health Services
22 mi
Mental Health (Including Community Mental Health Center)
14040 N CAVE CREEK RD STE 205
Phoenix, AZ 85022
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Teris Health Services LLC
  • 36 clinicians in this Medicare group
NPI 1790374833 (602) 358-7073
Live Life Now Health Group PA
2,167 mi
Addiction Medicine
26 LEWIS ST # 2
Yonkers, NY 10703
  • Reassigned Medicare billing, Arizona enrollment
  • 8 clinicians in this Medicare group
NPI 1770111429 (917) 529-2030

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 85395 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $55.44 – $168.60
Typical copayment $0.00 (range $13.86 – $42.15)
Most-billed visit code NA
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Aimee Wickersham's NPI number?

The NPI number for Aimee Wickersham is 1104426204. It was assigned to this individual provider in the NPPES registry on October 28, 2020.

Where is Aimee Wickersham located?

Aimee Wickersham practices at 15593 W Mackenzie Dr, Goodyear, AZ 85395. The listed phone number is (321) 961-3393.

What is Aimee Wickersham's specialty?

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

Is Aimee Wickersham enrolled in Medicare?

Yes. Aimee Wickersham is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Aimee Wickersham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Aimee Wickersham reassigns Medicare benefits to 2 organizations: Teri's Health Services (Phoenix, AZ) and Live Life Now Health Group PA (Yonkers, NY). 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 Aimee Wickersham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Aimee Wickersham accept?

Health plans from Cigna HealthCare of Arizona, Inc, Oscar Health Plan, Inc. and UnitedHealthcare list Aimee Wickersham 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 Aimee Wickersham was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.