Michael Jason Wickham, LCSW is a
Social Worker - Clinical based in Florida, New York. Michael Jason Wickham is licensed to practice in New Jersey (license number 44SC05923700) and his current practice location is
118 Glenmere Ave, Florida, New York. He can be reached at his office (for appointments etc.) via phone at
(845) 741-9399.
NPI number for Michael Jason Wickham is 1750774741 and his current mailing address is 118 Glenmere Ave, Florida, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750774741.
Healthcare Provider's Profile
| Full Name | Michael Jason Wickham |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 118 Glenmere Ave, Florida, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1750774741
- Provider Enumeration Date: 03/14/2015
- Last Update Date: 09/28/2023
Medical Identifiers
Medical identifiers for Michael Jason Wickham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750774741 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 257898 (Kentucky) | Secondary |
| 1041C0700X | Social Worker - Clinical | 44SC05923700 (New Jersey) | Primary |
| 1041C0700X | Social Worker - Clinical | 095201-01 (New York) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Jason Wickham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Michael Jason Wickham, LCSW
118 Glenmere Ave,
Florida, NY 10921-1210
Ph: (845) 741-9399 | Michael Jason Wickham, LCSW
118 Glenmere Ave,
Florida, NY 10921-1210
Ph: (845) 741-9399 |
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