Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Wichman, LCSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1235539495

Charles Wichman, LCSW is a Clinical Social Worker in Evansville, Indiana. Qualified in 2019, 7 years ago. Practices with Deaconess Hospital, Inc, a 414-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2014
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

655 S Hebron Ave
Evansville, IN 47714-4048
Phone: (812) 471-1776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 847 Ne 19th Ave, Portland, OR 97232-2684 — (503) 238-0769

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Adult Companion Taxonomy 372600000X

Record details

NPI number1235539495
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 25, 2014
Last updated in NPPESAugust 29, 2022
Certification dateAugust 29, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Deaconess Hospital, Inc. — 414 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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