Mr John William Wickizer, LPC is a
Psychologist based in Leesburg, Virginia. Mr John William Wickizer is licensed to practice in Virginia (license number ) and his current practice location is
2 Cardinal Park Dr, 104a, Leesburg, Virginia. He can be reached at his office (for appointments etc.) via phone at
(703) 715-6171.
NPI number for Mr John William Wickizer is 1740321629 and his current mailing address is 2 Cardinal Park Dr, Suite 104a, Leesburg, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1740321629.
Healthcare Provider's Profile
| Full Name | Mr John William Wickizer |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist |
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| Location | 2 Cardinal Park Dr, Leesburg, Virginia |
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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: 1740321629
- Provider Enumeration Date: 02/12/2007
- Last Update Date: 09/11/2025
Medical Identifiers
Medical identifiers for Mr John William Wickizer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740321629 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | (Virginia) | Secondary |
| 103T00000X | Psychologist | (Virginia) | Primary |
| 106H00000X | Marriage & Family Therapist | (Virginia) | 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. Mr John William Wickizer 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 |
|---|
Mr John William Wickizer, LPC
2 Cardinal Park Dr, Suite 104a,
Leesburg, VA 20175
Ph: (703) 715-6171 | Mr John William Wickizer, LPC
2 Cardinal Park Dr, 104a,
Leesburg, VA 20175
Ph: (703) 715-6171 |
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