Denise Michelle Dickerson, MS, LCADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCA2092 Issued in MD

Practice address

975 Solomons Island Rd, N
Prince Frederick, MD 20678-0980

Phone

(410) 535-5400

Fax

(410) 535-0736

NPI assigned

Jun 12, 2007

Last updated

Nov 7, 2014By 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

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Calvert County Health DepartmentGroup PAC ID 7214188366, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Calvert County Health Department

  dba Calvert County Mental Health Clinic

  • Adult Mental Health Clinic/Center
  • Prince Frederick, MD
  • NPI 1609137918
  Medicare reassignment Care Compare group NPD
• Calvert County Health Department

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Prince Frederick, MD
  • NPI 1417802737
  Authorized official Same address or phone
• Calvert County Health Department

  dba Calvert County Mental Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lusby, MD
  • NPI 1346891025
  NPD
• Calvert County Health Department

  dba Calvert County Mental Health Clinic

  • Adult Mental Health Clinic/Center
  • Chesapeake Beach, MD
  • NPI 1962850743
  NPD

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415318400000",
    "number": "1689878936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 980",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206780980",
            "telephone_number": "410-535-5400",
            "fax_number": "410-535-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 SOLOMONS ISLAND RD, N",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206780980",
            "telephone_number": "410-535-5400",
            "fax_number": "410-535-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "DENISE",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "MS, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2014-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LCA2092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viplav Narayan Deogaonkar
• Emily Deyo
• Tai Dial, DPT
• Gina Rose Diaz
• Lisa R Dickens, BS, CAC-AD
• Miles Diller, PH.D.
• Michael Joseph Dodd, MD
• Kathleen Dodson, LGSW
• Luke Samuel Dohman, DMD
• Shannon Douglas, PHARM.D., RPH

• Addiction (Substance Use Disorder) Counselor in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Addiction (Substance Use Disorder) Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.