Active NPI
Dickerson Counseling & Psychotherapy
- Clinical Social Worker
- Belvidere, NJ
National Provider Identifier
1407937162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC000143
- Legal business name
- DICKERSON COUNSELING & PSYCHOTHERAPY
- Practice address
- 40 Castners Rd
Belvidere, NJ 07823-2802 - Phone
- (908) 475-8100
- Fax
- (908) 475-8100
- NPI assigned
- Oct 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laurie J Dickerson, LCSW
- Title
- Partner
- Phone
- (908) 475-8100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2202 | NJ | |
| Clinical Social Worker | 1041C0700X | 44SC000143 | NJ | Primary |
Addresses
Primary practice location
40 Castners Rd
Belvidere, NJ 07823-2802
Mailing address
40 Castners Rd
Belvidere, NJ 07823-2802
Phone (908) 475-8100
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Belvidere, NJ
- NPI 1457432106
-
- Counseling Psychologist
- Belvidere, NJ
- NPI 1376600379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196035200000",
"number": "1407937162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 CASTNERS RD",
"city": "BELVIDERE",
"state": "NJ",
"postal_code": "078232802",
"telephone_number": "908-475-8100",
"fax_number": "908-475-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 CASTNERS RD",
"city": "BELVIDERE",
"state": "NJ",
"postal_code": "078232802",
"telephone_number": "908-475-8100",
"fax_number": "908-475-8100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DICKERSON COUNSELING & PSYCHOTHERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2007-11-26",
"status": "A",
"authorized_official_last_name": "DICKERSON",
"authorized_official_first_name": "LAURIE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "908-475-8100",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "2202",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC000143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belvidere, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.