William B Dickey, MSQRPCRCLPC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1021-1817 Issued in WV

Practice address

1445 Park Side Est
Fairmont, WV 26554-6109

Phone

(304) 366-7698

NPI assigned

May 4, 2010

Sex

Male

Sole proprietor

Yes

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

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.

• Mountaineer Case Management

  • Case Management Agency
  • Fairmont, WV
  • NPI 1518287051
  NPD (past) Authorized official

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276300800000",
    "number": "1417275249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 PARK SIDE EST",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265546109",
            "telephone_number": "304-366-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 PARK SIDE EST",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265546109",
            "telephone_number": "304-366-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKEY",
        "first_name": "WILLIAM",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "MSQRPCRCLPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WV",
            "license": "1021-1817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prasad Venkata Devabhaktuni, M.D.
• Rebecca Devito
• Derek Dewitt, PT
• DHP of Fairmont Inc
• Amber Dias
• Bonnie Diep, MD
• Jadyn Ruth Dillinger
• Makayla Dillow
• Chase Dixon
• Kelly B Dlugos, PHYSICAL THERAPIST

• Addiction (Substance Use Disorder) Counselor in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Addiction (Substance Use Disorder) Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2010; 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.