NICKY CALLICOTTE
NPI 1205084845
Social Worker in Sandy, OR

Active since September 08, 2008PECOS EnrolledAccepts Medicare Assignment
36860 INDUSTRIAL WAY, SANDY, OR 97055(503) 826-0206 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicky Callicotte NPPES

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

NICKY CALLICOTTE (NPI 1205084845) is an individual social worker in Sandy, Oregon, licensed in Oregon (L11089) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1205084845
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameNICKY CALLICOTTE
Location Address36860 INDUSTRIAL WAYSandy, OR 97055-7371
Mailing AddressPo Box 3777Portland, OR 97208-3777 · (503) 413-3900
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 8, 2008
Last NPPES UpdateJune 6, 2024
NPPES CertifiedJune 6, 2024
NPI 1205084845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in OR · L11089
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
36860 INDUSTRIAL WAY, Sandy, OR 97055

Other Names 1

Other Name (5)Nicky Mclean

Secondary Practice Location 1

Location 1847 NE 19th Ave, Ste. 100Portland, OR 97232-2684 · Phone (503) 552-6203 · Fax (503) 552-6208

Accepted Insurance

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

Nicky Callicotte 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 ID5597209460
PECOS Enrollment IDI20240702003235
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.

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Family)
36860 INDUSTRIAL WAY
SANDY, OR 97055
Family Medicine
36860 INDUSTRIAL WAY
SANDY, OR 97055
Family Medicine
36860 INDUSTRIAL WAY
SANDY, OR 97055
Family Medicine
36860 INDUSTRIAL WAY
SANDY, OR 97055
Family Medicine
36860 INDUSTRIAL WAY
SANDY, OR 97055
Pharmacist (Ambulatory Care)
36860 INDUSTRIAL WAY
SANDY, OR 97055
Clinic/Center (Rural Health)
36860 INDUSTRIAL WAY
SANDY, OR 97055
Family Medicine
36860 INDUSTRIAL WAY
SANDY, OR 97055

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 Nicky Callicotte's NPI number?

The NPI number for Nicky Callicotte is 1205084845. It was assigned to this individual provider in the NPPES registry on September 8, 2008. The provider is also known as Nicky Mclean.

Where is Nicky Callicotte located?

Nicky Callicotte practices at 36860 Industrial Way, Sandy, OR 97055. The listed phone number is (503) 826-0206.

What is Nicky Callicotte's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Nicky Callicotte enrolled in Medicare?

Yes. Nicky Callicotte 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.

What insurance does Nicky Callicotte accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Nicky Callicotte 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 Nicky Callicotte was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.