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JOHN B WICKHAM
NPI 1235879990
Social Worker - Clinical in Chicago, IL

Active since March 30, 2022
3948 N SHERIDAN RD STE 100, CHICAGO, IL 60613(773) 388-1600(773) 388-8936 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John B Wickham NPPES

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

JOHN B WICKHAM (NPI 1235879990) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.024244) and active in the NPI registry since March 2022. He maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1235879990
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJOHN B WICKHAM
Location Address3948 N SHERIDAN RD STE 100Chicago, IL 60613-2935
Mailing Address1025 W Sunnyside Ave Ste 100Chicago, IL 60640-5684 · (773) 388-1600 · Fax (773) 388-8936
Phone(773) 388-1600
Fax(773) 388-8936
Sole ProprietorNo
Enumeration DateMarch 30, 2022
Last NPPES UpdateJune 15, 2022
NPPES CertifiedJune 15, 2022
✔ NPI 1235879990 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 IL · 149.024244
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.
3948 N SHERIDAN RD STE 100, Chicago, IL 60613
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Secondary Practice Location 1

Location 12909 N Sheridan Rd Apt 1406Chicago, IL 60657-5944 · Phone (239) 994-3514

Other Identifiers 1

Medicaid149.024244IL

Other Providers at the Same Location NPPES

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

DR. TRAVIS MARK AMENGUAL MD
Psychiatry & Neurology (Psychiatry)
3948 N SHERIDAN RD STE 100
CHICAGO, IL 60613
Cook County (773) 388-1600

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 John Wickham's NPI number?

The NPI number for John Wickham is 1235879990. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Where is John Wickham located?

John Wickham practices at 3948 N Sheridan Rd Ste 100, Chicago, IL 60613. The listed phone number is (773) 388-1600.

What is John Wickham's specialty?

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

When was this NPI record last updated?

The NPPES record for John Wickham was last updated on June 15, 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.