Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL JASON WICKHAM, LCSW
Active Sole ProprietorMICHAEL JASON WICKHAM, LCSW is a Clinical Social Worker healthcare provider located in FLORIDA, New York. NPI 1750774741 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · FLORIDA, NY
Registration Details
- NPI Number
- 1750774741
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 14, 2015 (11.387701115385 yrs)
- Last Updated
- Sep 28, 2023
- Licenses
-
257898 (KY)44SC05923700 (NJ)095201-01 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
118 GLENMERE AVEFLORIDA, NY, 109211210Browse NY providers · Browse ZIP 10921
- Phone
- 8457419399
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in FLORIDA, NY
| Name | Credential | NPI |
|---|---|---|
| JANET K ACKER | LCSW-R | 1952476160 |
| ANNE MARIE GLENN FELLENZER | LCSW | 1801044326 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.