Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1790071678 Deactivated / Inactive NPI Female Practitioner

Debra Kay Wicker , LCSW

Social Worker • Scott Afb, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Debra Wicker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 20, 2011
NPI Deactivation Date June 05, 2025
Total Practice Duration ~14 Years of Practice (2011 – 2025)

Professional Overview & Biography Verified Profile Summary

Debra Wicker, LCSW was a registered Social Worker practicing in Scott Afb, IL. Throughout an active medical career spanning 14 years, Debra Wicker provided care at the practice location at 310 W LOSEY ST until profile deactivation on 2025-06-05.

Practice Location & Contact Primary Location

Practice Address

310 W Losey St
Scott Afb

Scott Afb, IL 62225

Telephone 6182567600
Associated Practice Facility / Clinic
🏢 375th Medgrp-Scott Facility NPI 1851373161

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Scott Afb, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Scott Afb, IL (5960 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License MO 2002006045LCSW

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1043238686

ARNPCNM

Darlene Brunner , WOMEN'S HEALTH NP

Nurse Practitioner - Women's Health

NPI 1093709800

WOMEN'SHEALTHNP

Helen Horn , WHNP

Nurse Practitioner - Women's Health

NPI 1861487522

Women's Health Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 05, 2025

Record deactivated on June 05, 2025

NPI Profile Active June 20, 2011

NPI status registered as active in NPPES database

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Updated Practice Location June 20, 2011

Registered at 310 W LOSEY ST, SCOTT AFB, SCOTT AFB, IL 62225 (Tel: 6182567600)

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Updated Business Mailing Address June 20, 2011

Registered at 775 E. MERRITT ISLAND CSWY SUITE 230, LUKE & ASSOCIATES, MERRIT ISLAND, FL 32952 (Tel: 3214524601)

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Provider Name / Credentials Updated June 20, 2011

Recorded as DEBRA WICKER, LCSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2011

Social Worker (License #2002006045LCSW in MO)

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Initial NPI Registration & Enumeration June 20, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790071678
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2011
Last Update: June 20, 2011
Deactivation Date: June 05, 2025

Mailing Address

775 E. Merritt Island Cswy Suite 230, Luke & Associates

Merrit Island, FL 32952

Phone: 3214524601

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.