John F Dick, LCSW, PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

989015 Issued in CO

Legal business name

JOHN F DICK, LCSW, PC

Practice address

130 E Monument St
Colorado Springs, CO 80903-1061

Phone

(719) 389-0609

Fax

(719) 389-0464

NPI assigned

Mar 6, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John F Dick, LCSWNPI 1780784397

Title

President

Phone

(719) 389-0609

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Forrest Dick, LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
  • NPI 1780784397
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1780958991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E MONUMENT ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031061",
            "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",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031061",
            "telephone_number": "719-389-0609",
            "fax_number": "719-389-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN F DICK, LCSW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "DICK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-389-0609",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "989015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.