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

Individual provider Clinical Social Worker · NPI 1396106225

James Council Wickersham, LMSW, CAADC is a Clinical Social Worker in Waterford, Michigan. Graduated from Wayne State University School of Medicine in 2014, 12 years ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
12
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2016
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

1435 N Oakland Blvd
Waterford, MI 48327-1549
Phone: (248) 406-0090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801096756 (MI)

Record details

NPI number1396106225
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW , CAADC
Sole proprietorYes
NPI enumeratedMarch 21, 2016
Last updated in NPPESMarch 20, 2017

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated
Practice locations6 on file with Medicare

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