John Forrest Dick, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

989015 Issued in CO

Practice address

130 E Monument St
Suite 201
Colorado Springs, CO 80903-1019

Phone

(719) 389-0609

Fax

(719) 389-0464

NPI assigned

Sep 24, 2006

Sex

Male

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 CO

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

Clinical Social Worker

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• John F Dick, LCSW, PC

  • Clinical Social Worker
  • Colorado Springs, CO
  • NPI 1780958991
  Medicare reassignment NPD Authorized official
• Alice S. Brill, PH.D. PC

  • Clinical Psychologist
  • Colorado Springs, CO
  • NPI 1457536195
  NPD (past)

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780784397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E MONUMENT ST",
            "address_2": "SUITE 201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031019",
            "telephone_number": "719-389-0609",
            "fax_number": "719-389-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E MONUMENT ST",
            "address_2": "SUITE 201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031019",
            "telephone_number": "719-389-0609",
            "fax_number": "719-389-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICK",
        "first_name": "JOHN",
        "middle_name": "FORREST",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "989015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Marie Dibble, CD(DONA)
• Emily Dibernardo
• Kimberly Dibiase, LMFT
• Sophie Callista Diblasio
• Randi G Dibuono, DPT
• Josiah Dicken
• Jorlyse Dickens, MSW
• Samantha Dickens
• Ellen Frances Dickerman
• Joel L Dickerman, DO

• Clinical Social Worker in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Social Worker in Colorado

• 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.
• 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.