Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205084845 Individual Practitioner Female Practitioner

Nicky Callicotte

Social Worker • Sandy, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nicky Callicotte is a certified Social Worker practicing in Sandy, OR. With approximately 12 years of clinical experience since completing medical education in 2014, Nicky Callicotte delivers high-quality medical care to the local community at 36860 INDUSTRIAL WAY.

Nicky Callicotte is affiliated with Legacy Clinics Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

36860 Industrial Way

Sandy, OR 970557371

Telephone 5038260206
Associated Practice Facility / Clinic
🏢 Legacy Clinics Llc Facility NPI 1730472192

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Sandy, OR

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs Matches City Avg
City Avg: 12.0 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Sandy, OR (2149 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

Clinical Seniority & Experience Comparison

Dr. Callicotte (12 Years) 12 Yrs
Sandy Specialty Average (12.0 Years) 12.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-06-06
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License OR L11089

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.

Case Manager/Care Coordinator

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Hospital & Practice Group Affiliations

Legacy Clinics Llc

36860 Industrial Way, Sandy, OR 970557371

Phone: 5036684117

Secondary Practice Locations

847 Ne 19th Ave, Ste. 100

Portland, OR 972322684

Phone: 5035526203

Practice Associates & Co-Workers

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

7 Associated Practitioners
Tara Pfaff , FNP-BC

Nurse Practitioner - Family

NPI 1053840330

Family Nurse Practitioner (Board Certified)

Dr. Sean Schulz , DO

Family Medicine

NPI 1164866885

Doctor of Osteopathic Medicine (D.O.)

NPI 1336143932

Doctor of Medicine (M.D.)

Dr. Deryk Zinser , DO

Family Medicine

NPI 1336371517

Doctor of Osteopathic Medicine (D.O.)

NPI 1467456053

Doctor of Medicine (M.D.)

Dr. Kristin Hart , PharmD

Pharmacist - Ambulatory Care

NPI 1710354576

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location June 06, 2024

Registered at 36860 INDUSTRIAL WAY, SANDY, OR 970557371 (Tel: 5038260206)

📍
Updated Business Mailing Address June 06, 2024

Registered at PO BOX 3777, PORTLAND, OR 972083777 (Tel: 5034133900)

👤
Provider Name / Credentials Updated June 06, 2024

Recorded as NICKY CALLICOTTE

NPI Profile Active September 08, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location September 08, 2008

Registered at 847 NE 19TH AVE, STE. 100, PORTLAND, OR 972322684 (Tel: 5035526203)

📍
Updated Business Mailing Address September 08, 2008

Registered at 847 NE 19TH AVE, STE. 100, PORTLAND, OR 972322684 (Tel: 5035526203)

👤
Provider Name / Credentials Updated September 08, 2008

Recorded as NICKY MCLEAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2008

Case Manager/Care Coordinator

🟢
Initial NPI Registration & Enumeration September 08, 2008

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: 1205084845
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 08, 2008
Last Update: June 06, 2024
Sole Proprietor: Yes

Mailing Address

Po Box 3777

Portland, OR 972083777

Phone: 5034133900

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.