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MRS. TRACYLYNN HUNTLEY WICKHAM LCSW
NPI 1194003459
Social Worker - Clinical in Richmond, VA

Active since August 03, 2011PECOS EnrolledAccepts Medicare Assignment
5412 GLENSIDE DR STE F, RICHMOND, VA 23228(804) 282-5880(804) 288-2029 Get Directions Write a Review

NPPES record last updated: September 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Tracylynn Huntley Wickham Lcsw NPPES

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

MRS. TRACYLYNN HUNTLEY WICKHAM LCSW (NPI 1194003459) is an individual clinical provider in Richmond, Virginia, licensed in Virginia (0904006713) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1194003459
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. TRACYLYNN HUNTLEY WICKHAMCredential: LCSW
Location Address5412 GLENSIDE DR STE FRichmond, VA 23228-3995
Mailing Address1640 E Parham RdRichmond, VA 23228-2368 · (804) 272-2000 · Fax (804) 272-2030
Phone(804) 282-5880
Fax(804) 288-2029
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 3, 2011
Last NPPES UpdateSeptember 4, 2019
✔ NPI 1194003459 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 VA · 0904006713
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.
5412 GLENSIDE DR STE F, Richmond, VA 23228
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Tracylynn Huntley Wickham Lcsw 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.

PECOS PAC ID7618140047
PECOS Enrollment IDI20111101000249
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23228 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 $56.19 – $170.30
Typical copayment $0.00 (range $14.04 – $42.57)
Most-billed visit code NA
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

Other Providers at the Same Location NPPES 11

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

CLINICAL ALTERNATIVES, P.C.
Social Worker (Clinical)
5412 GLENSIDE DR STE F
RICHMOND, VA 23228
Henrico County (804) 282-5880
DENITA W CLAUSI LCSW
Social Worker (Clinical)
5412 GLENSIDE DR STE F
HENRICO, VA 23228
Henrico County (804) 282-5880
WANDA WILLARD HILL LCSW, CSOTP
Social Worker (Clinical)
5412 GLENSIDE DR STE F
RICHMOND, VA 23228
Henrico County (804) 282-5880
CLINICAL ALTERNATIVES, P.C.
Counselor
5412 GLENSIDE DR STE F
RICHMOND, VA 23228
Henrico County (804) 282-5880
MS. ATHENA J. DAVIS L.P.C.
Counselor (Professional)
5412 GLENSIDE DR STE F
HENRICO, VA 23228
Henrico County (804) 282-5880
INTERCEDING CONSULTANT LLC
Counselor (Addiction (Substance Use Disorder))
5412 GLENSIDE DR STE F
RICHMOND, VA 23228
Henrico County (804) 997-7962
MS. ERIKA NICOLE BROOKS LPC
Counselor (Professional)
5412 GLENSIDE DR STE F
RICHMOND, VA 23228
Henrico County (804) 282-5880
MRS. PATRICIA F. FERGUSON LCSW
Social Worker (Clinical)
5412 GLENSIDE DR STE F
RICHMOND, VA 23228
Henrico County (804) 282-5880

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 Tracylynn Wickham's NPI number?

The NPI number for Tracylynn Wickham is 1194003459. It was assigned to this individual provider in the NPPES registry on August 3, 2011.

Where is Tracylynn Wickham located?

Tracylynn Wickham practices at 5412 Glenside Dr Ste F, Richmond, VA 23228. The listed phone number is (804) 282-5880.

What is Tracylynn Wickham's specialty?

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

Is Tracylynn Wickham enrolled in Medicare?

Yes. Tracylynn Wickham 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.

When was this NPI record last updated?

The NPPES record for Tracylynn Wickham was last updated on September 4, 2019. 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.