THOMAS M VICKNAIR ACSW
NPI 1619467024
Counselor 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 Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Vicknair was last updated on May 11, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 11, 2018PECOS Enrolled

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

NPPES record last updated: May 11, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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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 counselor in Sonora, California, licensed in California (69707) 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 Taxonomy101Y00000X

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

✔ NPI 1619467024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in CA · 69707

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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.