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

Shelly Myume Emi Fickes, LCSW

Individual provider Clinical Social Worker · NPI 1194315069

Shelly Myume Emi Fickes, LCSW is a Clinical Social Worker in Medford, Oregon. Licensed in Oregon. Registered with an NPI since 2021.

Licensed in
OR
In the registry since
2021
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

724 S Central Ave
Medford, OR 97501-7851
Phone: (541) 249-7724
Fax: (541) 325-4055
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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 L10457 (OR)

Record details

NPI number1194315069
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 24, 2021
Last updated in NPPESJanuary 24, 2021
Certification dateJanuary 24, 2021

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