MEDICARE: SARAH WICKER MSW, LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	34009579A	IN

General Provider Information

NPI Number	:	1609501238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH WICKER MSW, LCSW

Provider Business Mailing Address
First Line	:	PO BOX 30106
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46230-0106
Country	:	US
Telephone Number	:	502-544-5332
Fax Number	:

Provider Business Practice Location Address
First Line	:	7440 N SHADELAND AVE STE 204
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-2027
Country	:	US
Telephone Number	:	502-544-5332
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2022
Last Update Date	:	03/10/2026

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