IndividualActive
Aimee Wickersham, LCSW
NPI 1104426204 · Clinical Social Worker · Goodyear, AZ
Provider details
- NPI number
- 1104426204
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- LCSW-18914 (AZ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
15593 W Mackenzie Dr
Goodyear, AZ 85395-7779
Phone: (321) 961-3393
Approximate (ZIP-level) locationGet directions
Mailing address
15593 W Mackenzie Dr
Goodyear, AZ 85395-7779
Registry dates
- Enumerated
- 2020-10-28
- Last updated
- 2020-10-28
- Certified
- 2020-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.