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EMILY WICKMAN
NPI 1740931856
Social Worker - Clinical in Portland, CT

Active since January 11, 2022PECOS Enrolled
22 BELLE VISTA HTS, PORTLAND, CT 06480(860) 997-6679 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Emily Wickman NPPES

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

EMILY WICKMAN (NPI 1740931856) is an individual clinical provider in Portland, Connecticut, licensed in Connecticut (4680) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1740931856
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameEMILY WICKMAN
Location Address22 BELLE VISTA HTSPortland, CT 06480-1672
Mailing Address22 Belle Vista HtsPortland, CT 06480-1672
Phone(860) 997-6679
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJanuary 11, 2022
NPPES CertifiedJanuary 11, 2022
✔ NPI 1740931856 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 CT · 4680
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.
22 BELLE VISTA HTS, Portland, CT 06480
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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)

Emily Wickman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850748724
PECOS Enrollment IDI20231114003266
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 06480 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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 Emily Wickman's NPI number?

The NPI number for Emily Wickman is 1740931856. It was assigned to this individual provider in the NPPES registry on January 11, 2022.

Where is Emily Wickman located?

Emily Wickman practices at 22 Belle Vista Hts, Portland, CT 06480. The listed phone number is (860) 997-6679.

What is Emily Wickman's specialty?

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

Is Emily Wickman enrolled in Medicare?

Yes. Emily Wickman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Emily Wickman was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.