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SHELLY MYUME EMI FICKES LCSW
NPI 1194315069
Social Worker - Clinical in Medford, OR

Active since January 24, 2021Opted out of Medicare · through Jan 18, 2028
724 S CENTRAL AVE, MEDFORD, OR 97501(541) 249-7724(541) 325-4055 Get Directions Write a Review

NPPES record last updated: January 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shelly Myume Emi Fickes Lcsw NPPES

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

SHELLY MYUME EMI FICKES LCSW (NPI 1194315069) is an individual clinical provider in Medford, Oregon, licensed in Oregon (L10457) and active in the NPI registry since January 2021. She has opted out of Medicare through January 18, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1194315069
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHELLY MYUME EMI FICKESCredential: LCSW
Location Address724 S CENTRAL AVEMedford, OR 97501-7851
Mailing Address724 S Central AveMedford, OR 97501-7851 · (541) 249-7724 · Fax (541) 325-4055
Phone(541) 249-7724
Fax(541) 325-4055
Sole ProprietorNo
Enumeration DateJanuary 24, 2021
NPPES CertifiedJanuary 24, 2021
✔ NPI 1194315069 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 OR · L10457
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.
724 S CENTRAL AVE, Medford, OR 97501
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Shelly Myume Emi Fickes Lcsw 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 January 18, 2026 through January 18, 2028.

Opt-Out Effective DateJanuary 18, 2026
Opt-Out In Effect ThroughJanuary 18, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97501 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 $54.96 – $166.64
Typical copayment $0.00 (range $13.74 – $41.66)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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 3

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

MS. LAURIE L. THEODOROU LCSW
Social Worker (Clinical)
724 S CENTRAL AVE, SUITE 214
MEDFORD, OR 97501
Jackson County (541) 858-7916
ADVANCED RESPIRATORY DIAGNOSTIC
Respiratory Therapist, Registered
724 S CENTRAL AVE, SUITE 114
MEDFORD, OR 97501
Jackson County (541) 773-1554
RHIANNON THEURER LMFT
Community/Behavioral Health
724 S CENTRAL AVE, STE 209
MEDFORD, OR 97501
Jackson County (541) 207-8824

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 Shelly Myume Fickes's NPI number?

The NPI number for Shelly Myume Fickes is 1194315069. It was assigned to this individual provider in the NPPES registry on January 24, 2021.

Where is Shelly Myume Fickes located?

Shelly Myume Fickes practices at 724 S Central Ave, Medford, OR 97501. The listed phone number is (541) 249-7724.

What is Shelly Myume Fickes's specialty?

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

Is Shelly Myume Fickes enrolled in Medicare?

No. Shelly Myume Fickes has opted out of Medicare through January 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Shelly Myume Fickes accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Shelly Myume Fickes 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 Shelly Myume Fickes was last updated on January 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.