MR. CHARLES W WICKHAM (LMSW) – Clinical Social Worker, NPI 1376689364

MR. CHARLES W WICKHAM (LMSW) is a healthcare provider. based in Ann arbor, Michigan. specializing in Clinical Social Worker. They hold the professional credentials LMSW. They hold a License No. 6801086180 (MI). The NPI Number for MR. CHARLES W WICKHAM (LMSW) is 1376689364

Main info

Male
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
MR. CHARLES W WICKHAM (LMSW)
NPI
1376689364
Phone
(734) 218-0546
Address
2342 PARKWOOD AVE
Enumeration Date
29 January 2007
Last Update Date
26 April 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7346626300
Graduation Year
2001 (25 years ago)
PAC ID
2365608882
Group Practice PAC ID
5698761161
Professional Enrollment ID
I20120726000675
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MR. CHARLES W WICKHAM (LMSW)

  • 2342, Parkwood Avenue, Pittsfield Village Condominiums, Ann Arbor, Washtenaw County, Michigan, 48104, United States

    ANN ARBOR, MI 481045110

    Phone: (734) 218-0546

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48104)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698761161View full group profile
NameSpecialtyState
Nurse PractitionerMI
Clinical Social WorkerMI
-MI
-CA
Nurse PractitionerMI
-MI
Clinical Social WorkerMI
Clinical Social WorkerMI
Mental Health CounselorMD
Clinical Social WorkerMI

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Frequently asked questions

How do payers reference MR. CHARLES W WICKHAM (LMSW)?
For MR. CHARLES W WICKHAM (LMSW), use NPI 1376689364 as the unique 10-digit identifier.
Is there an active status for MR. CHARLES W WICKHAM (LMSW)?
For scheduling context, MR. CHARLES W WICKHAM (LMSW) is shown as active in the registry.
How would a patient describe MR. CHARLES W WICKHAM (LMSW)'s focus?
For MR. CHARLES W WICKHAM (LMSW), the primary taxonomy reads as Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is MR. CHARLES W WICKHAM (LMSW) located near Ann Arbor?
MR. CHARLES W WICKHAM (LMSW) currently maps to Ann Arbor, Michigan in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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