Active NPI
Marcia Dickson
- School Social Worker
- Clover, SC
National Provider Identifier
1154660900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 1952
- Practice address
- 300 Clinton Ave
Clover, SC 29710-1627 - Phone
- (803) 810-8402
- Fax
- (803) 222-8043
- NPI assigned
- Feb 13, 2013
- Last updated
- Feb 13, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 1952 | SC | Primary |
Addresses
Primary practice location
300 Clinton Ave
Clover, SC 29710-1627
Mailing address
300 Clinton Ave
Clover, SC 29710-1627
Phone (803) 810-8402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1952 | SC | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360713600000",
"number": "1154660900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 CLINTON AVE",
"city": "CLOVER",
"state": "SC",
"postal_code": "297101627",
"telephone_number": "803-810-8402",
"fax_number": "803-222-8043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CLINTON AVE",
"city": "CLOVER",
"state": "SC",
"postal_code": "297101627",
"telephone_number": "803-810-8402",
"fax_number": "803-222-8043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKSON",
"first_name": "MARCIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-13",
"last_updated": "2013-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "SC",
"license": "1952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clover, SC
- Danielle Klett LCSW LLC
- Dawn Vojvoda Davis, DNP, CRNA
- Sandra Defalco, FNP
- Dental Professionals of South Carolina, P.C. (Dental Care of Lake Wylie)
- Dentim, Inc. (Peoples Pharmacy)
- DME of the Carolinas LLC
- Jennifer Dodds
- Shannon Lee Donohoe, PT, DPT
- Dragonfly Wellness Center, LLC (Dragonfly Wellness Center)
- Kimberly Hallman Drechsler, R. PH.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.