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

Emily Wickman

Individual provider Clinical Social Worker · NPI 1740931856

Emily Wickman is a Clinical Social Worker in Portland, Connecticut. Qualified in 1995, 31 years ago. Practices with Psychological Health and Development Associates LLC, a 6-clinician group and offers telehealth. Licensed in Connecticut.

Years since qualifying
31
Licensed in
CT
In the registry since
2022

Practice location Address checks out

22 Belle Vista Hts
Portland, CT 06480-1672
Phone: (860) 997-6679
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 4680 (CT)

Record details

NPI number1740931856
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 11, 2022
Last updated in NPPESJanuary 11, 2022
Certification dateJanuary 11, 2022
Mailing address22 Belle Vista Hts, Portland, CT 06480-1672

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Psychological Health And Development Associates Llc — 6 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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