MRS. TRACYLYNN HUNTLEY WICKHAM LCSW
NPI 1194003459
Social Worker - Clinical in Richmond, VA
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Tracylynn Wickham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Richmond, VA 23229
- Reassigned Medicare billing, Virginia enrollment
- 6 clinicians in this Medicare group
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 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.
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.
RICHMOND, VA 23228
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.
Which organization bills Medicare for Tracylynn Wickham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tracylynn Wickham reassigns Medicare benefits to Dominion Outpatient Services, LLC (Richmond, VA). The 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 Tracylynn Wickham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tracylynn Wickham accept?
Health plans from Oscar Health list Tracylynn Wickham 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 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 7 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.
# Mrs. Tracylynn Huntley Wickham, LCSW · NPI 1194003459
Clinical provider in Richmond, Virginia. Individual provider, active in the CMS NPPES registry since August 3, 2011.
## Identity
- **NPI:** 1194003459 (Entity type: Individual)
- **Enumerated:** August 3, 2011
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 0904006713 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 5412 GLENSIDE DR STE F, Richmond, VA 23228-3995
- **Phone:** (804) 282-5880 · **Fax:** (804) 288-2029
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Dominion Outpatient Services, LLC (NPI 1790932911, Richmond, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** September 4, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1194003459) · Data from the CMS NPPES public registry.