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MR. CHARLES W WICKHAM LMSW
NPI 1376689364
Social Worker - Clinical in Ann Arbor, MI

Active since January 29, 2007PECOS Enrolled
2342 PARKWOOD AVE, ANN ARBOR, MI 48104(734) 218-0546 Get Directions Write a Review

NPPES record last updated: April 26, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Charles W Wickham Lmsw NPPES

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

MR. CHARLES W WICKHAM LMSW (NPI 1376689364) is an individual clinical provider in Ann Arbor, Michigan, licensed in Michigan (6801086180) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376689364
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. CHARLES W WICKHAMCredential: LMSW
Location Address2342 PARKWOOD AVEAnn Arbor, MI 48104
Mailing Address2342 Parkwood AveAnn Arbor, MI 48104-5110 · (734) 218-0546
Phone(734) 218-0546
Sole ProprietorYes
Enumeration DateJanuary 29, 2007
Last NPPES UpdateApril 26, 2012
✔ NPI 1376689364 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 · 6801086180
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.
2342 PARKWOOD AVE, Ann Arbor, MI 48104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health, 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)

Mr. Charles W Wickham Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 48104 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 $58.04 – $177.36
Typical copayment $0.00 (range $14.51 – $44.34)
Most-billed visit code NA
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

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 Charles Wickham's NPI number?

The NPI number for Charles Wickham is 1376689364. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Charles Wickham located?

Charles Wickham practices at 2342 Parkwood Ave, Ann Arbor, MI 48104. The listed phone number is (734) 218-0546.

What is Charles Wickham's specialty?

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

Is Charles Wickham enrolled in Medicare?

Yes. Charles Wickham is registered in the Medicare PECOS enrollment system.

What insurance does Charles Wickham accept?

Health plans from Priority Health and UnitedHealthcare list Charles Wickham 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 Charles Wickham was last updated on April 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.