CHARLES WICHMAN LCSW
NPI 1235539495
Social Worker - Clinical in Evansville, IN

Q: What is Charles Wichman's NPI number?

The NPI number for Charles Wichman is 1235539495. It was assigned to this individual provider in the NPPES registry on August 25, 2014. The provider is also known as Charles Washington.

Q: What is Charles Wichman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Charles Wichman was last updated on August 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 25, 2014PECOS EnrolledAccepts Medicare Assignment

655 S HEBRON AVE, EVANSVILLE, IN 47714(812) 471-1776 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Charles Wichman Lcsw NPPES

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

CHARLES WICHMAN LCSW (NPI 1235539495) is an individual clinical provider in Evansville, Indiana and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1235539495

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameCHARLES WICHMANCredential: LCSW

Location Address655 S HEBRON AVEEvansville, IN 47714-4048

Mailing AddressPo Box 8459Portland, OR 97207-8459 · (503) 238-0769

Phone(812) 471-1776

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 25, 2014

Last NPPES UpdateAugust 29, 2022

NPPES CertifiedAugust 29, 2022

✔ NPI 1235539495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedAdult CompanionTaxonomy 372600000X

655 S HEBRON AVE, Evansville, IN 47714

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Other Names 1

Former Name (1)Charles Washington

Secondary Practice Location 1

Location 1847 NE 19th AvePortland, OR 97232-2684 · Phone (503) 238-0769

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Providence Health Plan.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

Charles Wichman 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 ID4587048715

PECOS Enrollment IDI20220907001127

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 47714 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 $53.07 – $161.76

Typical copayment $0.00 (range $13.26 – $40.44)

Most-billed visit code NA

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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 12

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

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