Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

THOMAS M VICKNAIR ACSW
NPI 1619467024
Social Worker - Clinical in Sonora, CA

Q: What is Thomas Vicknair's NPI number?

The NPI number for Thomas Vicknair is 1619467024. It was assigned to this individual provider in the NPPES registry on May 11, 2018.

Q: What is Thomas Vicknair'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 Thomas Vicknair was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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 May 11, 2018PECOS Enrolled

105 HOSPITAL RD, SONORA, CA 95370(209) 533-6245 Get Directions Write a Review

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

Record update history: Aug 20, 2026, May 11, 2018 (2 updates tracked since 2018).

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About Thomas M Vicknair Acsw NPPES

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

THOMAS M VICKNAIR ACSW (NPI 1619467024) is an individual clinical provider in Sonora, California, licensed in California (69707-LCSW) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1619467024

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameTHOMAS M VICKNAIRCredential: ACSW

Location Address105 HOSPITAL RDSonora, CA 95370-5227

Mailing Address2 S Green StSonora, CA 95370-4618 · (209) 533-6245

Phone(209) 533-6245

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMay 11, 2018

Last NPPES UpdateAugust 20, 20262 updates tracked since enumeration

NPPES CertifiedAugust 20, 2026

✔ NPI 1619467024 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 CA · 69707-LCSW

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.

105 HOSPITAL RD, Sonora, CA 95370

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas M Vicknair Acsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335581248

PECOS Enrollment IDI20240523002074

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy for crisis, first hour 90839

Psychotherapy for crisis is a supportive service provided during times of intense distress. In the first hour, the therapist will help you express your feelings, understand the crisis better, and work on immediate coping strategies. This is aimed at reducing stress and promoting emotional well-being.

16 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95370 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 $58.87 – $176.60

Typical copayment $0.00 (range $14.71 – $44.15)

Most-billed visit code NA

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

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.

EMILY FREDA

Case Manager/Care Coordinator