Grace Dickinson, MSW, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

33011051A Issued in IN

Practice address

10291 N Meridian St Ste 310
Carmel, IN 46290-1083

Phone

(317) 672-1970

NPI assigned

Oct 4, 2022

Last updated

Oct 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Brain Performance LLC

  • Forensic Psychologist
  • Indianapolis, IN
  • NPI 1013319656
  NPD

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1396460200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 E 62ND ST APT U2",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462201917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10291 N MERIDIAN ST STE 310",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "462901083",
            "telephone_number": "317-672-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "GRACE",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33011051A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa M Dicke
• Alicia T Dickens
• David Dickerson, PTA
• Jennifer Nicole Dickerson, MS, CGC
• Jessica Dickerson, PTA
• Catherine Dicks, LMT
• Robert J Dickson, D.D.S.
• Heather Dierckman
• Brittany N Dietrich
• Digestive & Liver Clinic, P.C.

• Social Worker in Carmel, IN
• Providers in Carmel, IN by specialty
• Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.