Nicky Callicotte
Nicky Callicotte is a Clinical Social Worker in Sandy, Oregon. Qualified in 2014, 12 years ago. Practices with Legacy Clinics LLC, a 718-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.
- Years since qualifying
- 12
- Licensed in
- OR
- In the registry since
- 2008
- Specialties on file
- 2
Practice location Address checks out
36860 Industrial WaySandy, OR 97055-7371
Phone: (503) 826-0206
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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) 552-6203
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence L11089 (OR) |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1205084845 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 8, 2008 |
| Last updated in NPPES | June 6, 2024 |
| Certification date | June 6, 2024 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Group practice | Legacy Clinics Llc — 718 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Colleagues at Legacy Clinics LLC
- Sumitra Chandrasekaran, MD Internal Medicine Physician · Portland, OR
- Jessica L Cyphert, PA-C Physician Assistant · Gresham, OR
- Ellen P Duplain, MD Internal Medicine Physician · Portland, OR
- Emily Edwards, MD Gynecology Physician · Portland, OR
- David Joseph Gahtan, PA Physician Assistant · Portland, OR
- Dr. Elizabeth Guenther Harmon, MD Internal Medicine Physician · Portland, OR
- Collin Maurice McLaughlin, DO Internal Medicine Physician · Keizer, OR
- Dr. Kevin David Robert Moran, MD Internal Medicine Physician · Billings, MT
- Vanessa L Peterson, MD Sleep Medicine (Internal Medicine) Physician · Portland, OR
- Abigail Peters Ritter, PA-C Surgical Physician Assistant · Portland, OR
- Shereen Lee Seyal, MD Student in an Organized Health Care Education/Training Program · Vancouver, WA
- Ryan Yuan, MD Cardiovascular Disease Physician · Bellevue, WA
Other providers in Sandy
-
Steffanie F Amos
39740 Pleasant St, Sandy, OR 97055-6412 · (503) 655-8470
-
Jose L Estrada
38872 Proctor Blvd, Sandy, OR 97055-8035 · (503) 722-6950
-
Kimberlee R Fox
38872 Proctor Blvd, Sandy, OR 97055-8035 · (503) 722-6950
-
Hannah Glaser
39740 Pleasant St, Sandy, OR 97055-6412 · (503) 655-8470
-
Elaine B Miller
39740 Pleasant St Sandy OR 97055, Sandy, OR 97055 · (503) 655-8470