EMILY WICKSTROM MSW, LMSW - NPI 1235862764 - Social Worker in Joplin, MO

Q: What is Emily Wickstrom's NPI number?

The NPI number for Emily Wickstrom is 1235862764. It was assigned to this individual provider in the NPPES registry on July 1, 2022.

Q: What is Emily Wickstrom's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Emily Wickstrom was last updated on July 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

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About Emily Wickstrom Msw, Lmsw NPPES

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

EMILY WICKSTROM MSW, LMSW (NPI 1235862764) is an individual social worker in Joplin, Missouri, licensed in Missouri (2022023114) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1235862764

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameEMILY WICKSTROMCredential: MSW, LMSW

Location Address705 W 26TH STJoplin, MO 64804-1904

Mailing Address705 W 26th StJoplin, MO 64804-1904 · (417) 627-9994

Phone(417) 434-8273

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 1, 2022

NPPES CertifiedJuly 1, 2022

✔ NPI 1235862764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in MO · 2022023114

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.

705 W 26TH ST, Joplin, MO 64804

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Wickstrom Msw, Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133616782

PECOS Enrollment IDI20251016001782

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 7

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

COUNSELING ASSOCIATES OF THE FOUR STATES, LLC

Counselor (Mental Health)