Sandra Ann Wickham, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C006197 Issued in NC

Practice address

110 Village Lake Rd
Siler Business Park BLDG#1 Suite B
Siler City, NC 27344-1821

Phone

(919) 542-4952

NPI assigned

Aug 8, 2006

Last updated

Dec 23, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comprehensive Practice Resources Inc

  • Clinical Social Worker
  • Pittsboro, NC
  • NPI 1689859316
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1659381382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1668",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273121668",
            "telephone_number": "919-542-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 VILLAGE LAKE RD",
            "address_2": "SILER BUSINESS PARK BLDG#1 SUITE B",
            "city": "SILER CITY",
            "state": "NC",
            "postal_code": "273441821",
            "telephone_number": "919-542-4952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKHAM",
        "first_name": "SANDRA",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R023765-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13389",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madeline Maureen Webber
• Doris Welborn, RD,LDN,CDE
• Frank Wempa, RPH
• Nzingha J White, D.O
• Donna Whitt, M.D.
• Annette Coble Willett, FNP
• Michaela Leigh Wilson
• Aubrey Womack, LDN, RDN
• Rosanna M Wood, LCPC
• Alexandria Woods, PT

• Clinical Social Worker in Siler City, NC
• Providers in Siler City, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.