JAMES COUNCIL WICKERSHAM LMSW, CAADC
NPI 1396106225
Social Worker - Clinical in Waterford, MI

Active since March 21, 2016PECOS Enrolled
1435 N OAKLAND BLVD, WATERFORD, MI 48327(248) 406-0090 Get Directions Write a Review

NPPES record last updated: March 20, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 20, 2017, Mar 21, 2016 (2 updates tracked since 2016).

About James Council Wickersham Lmsw, Caadc NPPES

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

JAMES COUNCIL WICKERSHAM LMSW, CAADC (NPI 1396106225) is an individual clinical provider in Waterford, Michigan, licensed in Michigan (6801096756) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2014).

NPPES Registry Identity

NPI1396106225
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJAMES COUNCIL WICKERSHAMCredential: LMSW, CAADC
Location Address1435 N OAKLAND BLVDWaterford, MI 48327-1549
Mailing Address1435 N Oakland BlvdWaterford, MI 48327-1549 · (248) 406-0090
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 2014
Enumeration DateMarch 21, 2016
Last NPPES UpdateMarch 20, 20172 updates tracked since enumeration
NPI 1396106225 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 · 6801096756
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.
1435 N OAKLAND BLVD, Waterford, MI 48327

Accepted 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)

James Council Wickersham Lmsw, Caadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456635663
PECOS Enrollment IDI20170308001067
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 48327 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.

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.

Counselor (Addiction (Substance Use Disorder))
1435 N OAKLAND BLVD
WATERFORD, MI 48327
Counselor (Addiction (Substance Use Disorder))
1435 N OAKLAND BLVD
WATERFORD, MI 48327
Counselor (Addiction (Substance Use Disorder))
1435 N OAKLAND BLVD
WATERFORD, MI 48327
Social Worker (Clinical)
1435 N OAKLAND BLVD
WATERFORD, MI 48327
Counselor (Addiction (Substance Use Disorder))
1435 N OAKLAND BLVD
WATERFORD, MI 48327
Counselor (Addiction (Substance Use Disorder))
1435 N OAKLAND BLVD
WATERFORD, MI 48327
Technician/Technologist
1435 N OAKLAND BLVD
WATERFORD, MI 48327
Counselor (Professional)
1435 N OAKLAND BLVD
WATERFORD, MI 48327

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 James Wickersham's NPI number?

The NPI number for James Wickersham is 1396106225. It was assigned to this individual provider in the NPPES registry on March 21, 2016.

Where is James Wickersham located?

James Wickersham practices at 1435 N Oakland Blvd, Waterford, MI 48327. The listed phone number is (248) 406-0090.

What is James Wickersham's specialty?

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

Is James Wickersham enrolled in Medicare?

Yes. James Wickersham is registered in the Medicare PECOS enrollment system.

What insurance does James Wickersham accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list James Wickersham 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 James Wickersham was last updated on March 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.