Active NPI
Erin Alyssa Dickerman, BSW
- Counselor
- New London, CT
National Provider Identifier
1437368164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 7 Vauxhall St
New London, CT 06320 - Phone
- (860) 442-2797
- Fax
- (860) 701-3776
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CT | Primary |
Addresses
Primary practice location
7 Vauxhall St
New London, CT 06320
Mailing address
41 Bolivia St
Willimantic, CT 06226
Phone (860) 617-1833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437368164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 BOLIVIA ST",
"city": "WILLIMANTIC",
"state": "CT",
"postal_code": "06226",
"telephone_number": "860-617-1833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 VAUXHALL ST",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "06320",
"telephone_number": "860-442-2797",
"fax_number": "860-701-3776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKERMAN",
"first_name": "ERIN",
"middle_name": "ALYSSA",
"name_prefix": "Ms.",
"credential": "BSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New London, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.