JAMES COUNCIL WICKERSHAM (NPI# 1396106225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396106225 |
| Entity Type | Individual |
| Full Name | JAMES COUNCIL WICKERSHAM |
| Credential | LMSW, CAADC |
| Practice Address |
1435 N Oakland Blvd Waterford MI 48327-1549 |
| Practice Telephone | 2484060090 |
| Mailing Telephone | 2484060090 |
| Enumeration Date | 2016-03-21 |
| Last Update Date | 2017-03-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801096756 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1435 N OAKLAND BLVD |
| City | WATERFORD |
| State | MI |
| Zip Code | 48327-1549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679683700 | Jason Matthew Cubbin | Counselor | 1435 N Oakland Blvd, Waterford, MI 48327-1549 | 2006-08-30 |
| 1780202218 | Madison Hille | Social Worker | 1435 N Oakland Blvd, Waterford, MI 48327-1549 | 2020-07-10 |
| 1578014940 | Community Programs, Inc. | Community/Behavioral Health | 1435 N Oakland Blvd, Waterford, MI 48327-1549 | 2016-10-20 |
| 1740641497 | Marylynn Gronow | Counselor | 1435 N Oakland Blvd, Waterford, MI 48327-1549 | 2016-03-09 |
| 1245691971 | James Edward Beall | Counselor | 1435 N Oakland Blvd, Waterford, MI 48327-1549 | 2016-03-08 |
| 1316307176 | Shawn Daniel Miller | Counselor | 1435 N Oakland Blvd, Waterford, MI 48327-1549 | 2016-03-07 |
| 1922466978 | Sarah Sloan | Counselor | 1435 N Oakland Blvd, Waterford, MI 48327-1549 | 2016-02-05 |
| 1689909921 | Kenneth Briggs | Counselor | 1435 N Oakland Blvd, Waterford, MI 48327-1549 | 2009-10-05 |
| 1598098147 | Community Programs, Inc. | Substance Abuse Rehabilitation Facility | 1435 N Oakland Blvd, Waterford, MI 48327-1549 | 2009-09-15 |
| 1437308012 | Susan Louise Vandyke | Counselor | 1435 N Oakland Blvd, Waterford, MI 48327-1549 | 2008-09-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700418555 | Dental House - Waterford, Pllc | Clinic/Center | 5979 Highland Road, Waterford Twp, MI 48327 | 2020-02-10 |
| 1063924793 | Carolyn Mirretti | Social Worker | 7110 Round Hill Drive, Apt. A2, Waterford, MI 48327 | 2017-11-03 |
| 1972022358 | Mary Frances Halfpenny | Registered Nurse | 5741 Berkley Dr, Waterford, MI 48327 | 2017-09-17 |
| 1407377443 | Crystal Marie Degrandchamp | Counselor | 1370 N. Oakland Blvd., Suite 105, Waterford, MI 48327 | 2017-06-29 |
| 1366987489 | Graceful Living, Reinventing In-home Senior Care | Home Health | 6926 Highland Road, Suite 2, Waterford, MI 48327 | 2016-12-28 |
| 1134678378 | Jacqueline Bleisch | Home Health | 2440 Jones Rd., Waterford, MI 48327 | 2016-09-29 |
| 1033665385 | Charles Weems | Counselor | Meridian Health Services, 1255 N. Oakland Blvd., Waterford, MI 48327 | 2016-08-28 |
| 1124480777 | Raymond S Kanar | Counselor | 1255 North Oakland Blvd., Waterford, MI 48327 | 2016-03-23 |
| 1750765798 | Shatha Matti | Pharmacist | 7362 Highland Road, Waterford, MI 48327 | 2015-07-18 |
| 1548647233 | Oakland Physicians Medical Center LLC | Clinic/Center | 1035 N. Oakland Blvd., Waterford, MI 48327 | 2015-05-01 |
| Find all providers in zip 48327 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053941294 | Lisa Jane Ballint | Social Worker | 275 Niantic River Rd, Waterford, CT 06385-1517 | 2020-01-16 |
| 1295377315 | Linda Alexandra Greene | Social Worker | 125 Boston Post Rd Ste 1, Waterford, CT 06385-2841 | 2019-10-09 |
| 1679131312 | Martha Jane Herrick | Social Worker | 8785 Carson Dr, Waterford, PA 16441-4069 | 2019-05-29 |
| 1023512407 | Amanda Frechette, Lcsw LLC | Social Worker | 567 Vauxhall Street Ext Ste 315, Waterford, CT 06385-4341 | 2018-03-21 |
| 1174032288 | Winakor's Healing Practice | Social Worker | 758 Broad St. Ext., Waterford, CT 06385 | 2017-09-21 |
| 1588181978 | India Dunlap | Social Worker | 279 Summit Dr., Waterford, MI 48328 | 2017-08-25 |
| 1194254029 | Pamela Ann Jeremias | Social Worker | 955 Campus Dr N, Waterford, MI 48328-2754 | 2017-06-05 |
| 1508317926 | Emily Otten | Social Worker | 608 E Preda Dr, Waterford, MI 48328-2025 | 2016-10-20 |
| 1649627019 | Melanie Chismody | Social Worker | 3314 Healy St, Waterford, MI 48328-4751 | 2016-05-16 |
| 1306229554 | Robert Julian Brill | Social Worker | 4345 Meigs Ave Ste 104, Waterford, MI 48329-1877 | 2015-07-07 |
| Find all providers in WATERFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.