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

Thomas M Vicknair, ACSW

Individual provider Counselor · NPI 1619467024

Thomas M Vicknair, ACSW is a Clinical Social Worker in Sonora, California. Qualified in 2015, 11 years ago. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2018

Practice location Address checks out

105 Hospital Rd
Sonora, CA 95370-5227
Phone: (209) 533-6245
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 69707 (CA)

Record details

NPI number1619467024
Entity typeIndividual (Type 1)
GenderMale
Credentials ACSW
Sole proprietorNo
NPI enumeratedMay 11, 2018
Last updated in NPPESMay 11, 2018

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

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