| James Council Wickersham, LMSW, CAADC | |
|
1435 N Oakland Blvd, Waterford, MI 48327-1549 | |
| (248) 406-0090 | |
| Not Available |
| Full Name | James Council Wickersham |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 11 Years |
| Location | 1435 N Oakland Blvd, Waterford, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396106225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801096756 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Landmark Therapy Llc | 2264785302 | 2 |
| Richard Kneip Phd Pc | 4880768415 | 216 |
| Entity Name | Ascension Eastwood Behavioral Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396787701 PECOS PAC ID: 2163324492 Enrollment ID: O20040126000572 |
| Entity Name | Richard Kneip Phd Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679739700 PECOS PAC ID: 4880768415 Enrollment ID: O20080731000086 |
| Entity Name | Sollars& Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538482187 PECOS PAC ID: 6608911995 Enrollment ID: O20100311000447 |
| Entity Name | Cognitive Care Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649664467 PECOS PAC ID: 5890014898 Enrollment ID: O20150424000249 |
| Entity Name | Landmark Therapy Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225520133 PECOS PAC ID: 2264785302 Enrollment ID: O20181019000600 |
| Mailing Address | Practice Location Address |
|---|---|
| James Council Wickersham, LMSW, CAADC 1435 N Oakland Blvd, Waterford, MI 48327-1549 Ph: (248) 406-0090 | James Council Wickersham, LMSW, CAADC 1435 N Oakland Blvd, Waterford, MI 48327-1549 Ph: (248) 406-0090 |
Bethany Piccinato, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 269 Summit Dr, Waterford, MI 48328 Phone: 248-706-3450 | |
Kelly A. Teague, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6637 Highland Rd, Waterford, MI 48327 Phone: 248-666-8870 | |
Mrs. Courtney Elizabeth Paladino, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 279 Summit Dr, Waterford, MI 48328 Phone: 248-409-4165 Fax: 248-745-6872 | |
Mr. Richard Lee Kleinstiver, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6515 Highland Rd, Ste. 110, Waterford, MI 48327 Phone: 248-738-0301 | |
Mrs. Christine R Ladronka, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 269 Summit Dr, Waterford, MI 48328 Phone: 248-706-3450 | |
Jordyn Jendrzejewski, LLBSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 279 Summit Dr, Waterford, MI 48328 Phone: 248-871-1465 | |
Kerisma Reed, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2585 Desmond, Waterford, MI 48329 Phone: 248-592-7608 |