MICHAEL WICKERSHAM
NPI 1932572161
Social Worker - Clinical in Salt Lake City, UT

Active since November 10, 2015PECOS Enrolled
3970 S 700 E STE 17, SALT LAKE CITY, UT 84107(801) 639-9544(801) 263-4333 Get Directions Write a Review

NPPES record last updated: June 20, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 20, 2016, Nov 10, 2015 (2 updates tracked since 2015).

About Michael Wickersham NPPES

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

MICHAEL WICKERSHAM (NPI 1932572161) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (9428093-3502) and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932572161
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMICHAEL WICKERSHAM
Location Address3970 S 700 E STE 17Salt Lake City, UT 84107-2583
Mailing Address3970 S 700 E Ste 17Salt Lake City, UT 84107-2583 · (801) 639-9544 · Fax (801) 263-4333
Fax(801) 263-4333
Sole ProprietorNo
Enumeration DateNovember 10, 2015
Last NPPES UpdateJune 20, 20162 updates tracked since enumeration
NPI 1932572161 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 UT · 9428093-3502
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.

3970 S 700 E STE 17, Salt Lake City, UT 84107

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)

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

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 84107 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 $54.34 – $166.03
Typical copayment $0.00 (range $13.58 – $41.50)
Most-billed visit code NA
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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 Michael Wickersham's NPI number?

The NPI number for Michael Wickersham is 1932572161. It was assigned to this individual provider in the NPPES registry on November 10, 2015.

Where is Michael Wickersham located?

Michael Wickersham practices at 3970 S 700 E Ste 17, Salt Lake City, UT 84107. The listed phone number is (801) 639-9544.

What is Michael Wickersham's specialty?

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

Is Michael Wickersham enrolled in Medicare?

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

What insurance does Michael Wickersham accept?

Health plans from BridgeSpan Health Company, Molina Healthcare and Regence BlueCross BlueShield of Utah list Michael 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 Michael Wickersham was last updated on June 20, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.