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

Individual provider Clinical Social Worker · NPI 1114002664

John Gregory Sickler, LCSW is a Clinical Social Worker in Portland, Oregon. Qualified in 2000, 26 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
26
Licensed in
OR
In the registry since
2006
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

511 SW 10th Ave Ste 614
Portland, OR 97205-2732
Phone: (503) 307-4112
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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 3493 (OR)

Record details

NPI number1114002664
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 25, 2006
Last updated in NPPESJanuary 18, 2012

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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