Alex Dickinson, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

28 William St
Gouverneur, NY 13642-1405

Phone

(315) 287-2811

NPI assigned

Oct 24, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• St. Lawrence Psychiatric Center

  • Community/Behavioral Health Agency
  • Gouverneur, NY
  • NPI 1669811881
  NPD (past)
• St. Lawrence Psychiatric Center

  • Community/Behavioral Health Agency
  • Gouverneur, NY
  • NPI 1780135749
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1215488382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 LERAY ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136011471",
            "telephone_number": "315-486-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 WILLIAM ST",
            "city": "GOUVERNEUR",
            "state": "NY",
            "postal_code": "136421405",
            "telephone_number": "315-287-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "ALEX",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-24",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "098637-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadhia Celestin, M.D.
• Debby Ann Colton, RN
• Lisa Joy Cook, LMSW
• Emily Cotey, DPT
• Scott R. Day, DDS
• Eleanor M Dober, RPH
• George M Dodds I, M.D.
• Teresa V Dombek-Lang, M.D.
• Ellie Donaldson, MENTAL HEALTH COUNSE
• Mary Brondou Dousharm, LCSW

• Social Worker in Gouverneur, NY
• Providers in Gouverneur, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.