CARRIE ELIZABETH WICKLUND LMSW
NPI 1336718907
Social Worker - Clinical in Grand Rapids, MI

Q: What is Carrie Wicklund's NPI number?

The NPI number for Carrie Wicklund is 1336718907. It was assigned to this individual provider in the NPPES registry on June 18, 2021. The provider is also known as Carrie Elizabeth Mathis.

Q: What is Carrie Wicklund'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 Carrie Wicklund was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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 June 18, 2021PECOS EnrolledAccepts Medicare Assignment

275 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 267-7900(616) 267-7901 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2024, Jun 18, 2021 (2 updates tracked since 2021).

On this page

About Carrie Elizabeth Wicklund Lmsw NPPES

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

CARRIE ELIZABETH WICKLUND LMSW (NPI 1336718907) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801116981) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1336718907

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameCARRIE ELIZABETH WICKLUNDCredential: LMSW

Location Address275 MICHIGAN ST NEGrand Rapids, MI 49503-2531

Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560

Phone(616) 267-7900

Fax(616) 267-7901

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateJune 18, 2021

Last NPPES UpdateDecember 9, 20242 updates tracked since enumeration

NPPES CertifiedDecember 9, 2024

✔ NPI 1336718907 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 MI · 6801116981

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.

275 MICHIGAN ST NE, Grand Rapids, MI 49503

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Other Names 1

Former Name (1)Carrie Elizabeth Mathis

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Carrie Elizabeth Wicklund Lmsw 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 ID1658726872

PECOS Enrollment IDI20231009000909

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230038

Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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 $54.34 – $166.68

Typical copayment $0.00 (range $13.58 – $41.67)

Most-billed visit code NA

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 20

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

PHILLIP RICHTER PARAS M.D.

Pediatrics