SUSAN L WICKETT LCSW
NPI 1912215369
Social Worker - Clinical in Sallisaw, OK

Active since September 20, 2010PECOS EnrolledAccepts Medicare Assignment
313 ROBIN LN, SALLISAW, OK 74955(609) 346-8746 Get Directions Write a Review

NPPES record last updated: April 11, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 11, 2019, Jun 22, 2016 (2 updates tracked since 2016).

About Susan L Wickett Lcsw NPPES

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

SUSAN L WICKETT LCSW (NPI 1912215369) is an individual clinical provider in Sallisaw, Oklahoma, licensed in Texas (58992) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1912215369
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSUSAN L WICKETTCredential: LCSW
Location Address313 ROBIN LNSallisaw, OK 74955-3028
Mailing Address313 Robin LnSallisaw, OK 74955-3028 · (609) 346-8746
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateSeptember 20, 2010
Last NPPES UpdateApril 11, 20192 updates tracked since enumeration
✔ NPI 1912215369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in TX · 58992✔ Licensed in NC · C006886✔ Licensed in LA · 9610
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.
313 ROBIN LN, Sallisaw, OK 74955

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susan L Wickett Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395927511
PECOS Enrollment IDI20260226000582
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.

Medicare Billing Reassignment

Medicare enrollment records show Susan Wickett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, North Carolina and Texas enrollments
  • 712 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74955 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 $53.00 – $162.61
Typical copayment $0.00 (range $13.25 – $40.65)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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 Susan Wickett's NPI number?

The NPI number for Susan Wickett is 1912215369. It was assigned to this individual provider in the NPPES registry on September 20, 2010.

Where is Susan Wickett located?

Susan Wickett practices at 313 Robin Ln, Sallisaw, OK 74955. The listed phone number is (609) 346-8746.

What is Susan Wickett's specialty?

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

Is Susan Wickett enrolled in Medicare?

Yes. Susan Wickett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Susan Wickett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Wickett reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Wickett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Susan Wickett was last updated on April 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.