Raina Wickham
Raina Wickham is a Clinical Social Worker in Philomath, Oregon. Qualified in 2011, 15 years ago. Practices with Philomath Counseling LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Oregon.
- Years since qualifying
- 15
- Licensed in
- OR
- In the registry since
- 2009
- Specialties on file
- 2
Practice location Address checks out
1229 Main St Ste 105Philomath, OR 97370
Phone: (541) 609-1305
Fax: (541) 714-3770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence MASTERS - PSU (OR) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 11-12-75 (OR) |
Record details
| NPI number | 1457686073 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 15, 2009 |
| Last updated in NPPES | November 8, 2016 |
| Mailing address | 24971 Bluerock Ln, Corvallis, OR 97333-9554 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2011 (15 years in practice) |
| Group practice | Philomath Counseling Llc — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Philomath
-
Megan Lynae McCarthy, CADCIICRMIIQMHA
2004 College St, Philomath, OR 97370-9534 · (541) 740-1650
-
Pathways Northwest Counseling Service
2364 Main St Ste A, Philomath, OR 97370-9488 · (541) 944-1247