Mark Dickmann, MSW, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1741 Issued in CO

Legal business name

MARK DICKMANN, MSW, LCSW, LLC

Practice address

2855 Main Ave
Suite a-107
Durango, CO 81301-5956

Phone

(970) 259-5711

NPI assigned

Nov 13, 2014

Last updated

Nov 13, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark R. M. Dickmann, MSW, LCSWNPI 1164620886

Title

Psychotherapist

Phone

(970) 259-5711

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark RM Dickmann, MSW, LCSW

  • Clinical Social Worker
  • Durango, CO
  • NPI 1164620886
  Authorized official Same address or phone
• Ruby Jo Walker, LCSW,EMDR CERT,CHT,C

  • Clinical Social Worker
  • Durango, CO
  • NPI 1336283761
  NPD (past)

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1255737581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 MAIN AVE",
            "address_2": "SUITE A-107",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015956",
            "telephone_number": "970-259-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 MAIN AVE",
            "address_2": "SUITE A-107",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015956",
            "telephone_number": "970-259-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK DICKMANN, MSW, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-13",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "DICKMANN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R. M.",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "970-259-5711",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "1741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Elizabeth Mann, LSW
• Jon Gregory Mann, DDS
• Cynthia A Manninen, D.O.
• Morgan James Manulik, PA-C
• Elizabeth Marino, LPC
• Mark H. Kircher, MD PC
• Mark R. Rahner, O.D., P.C. (Advanced Eyecare)
• Mark Turpen MD
• Selina Markiewicz, LPCC
• Robert Marks, ATC

• Clinical Social Worker in Durango, CO
• Providers in Durango, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.