IndividualActive
Nicky Callicotte
NPI 1205084845 · Social Worker · Sandy, OR
Provider details
- NPI number
- 1205084845
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
36860 Industrial Way
Sandy, OR 97055-7371
Phone: (503) 826-0206
Street-level locationGet directions
Mailing address
Po Box 3777
Portland, OR 97208-3777
Additional practice locations (1)
- 847 Ne 19th AveSte. 100Portland, OR 97232-2684Phone: (503) 552-6203Fax: (503) 552-6208
Registry dates
- Enumerated
- 2008-09-08
- Last updated
- 2024-06-06
- Certified
- 2024-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.