Nancy A. Dickerson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R056531-1 Issued in NY

Practice address

4038 West Rd
Cortland, NY 13045-1842

Phone

(607) 758-3008

NPI assigned

Apr 12, 2007

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

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

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, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Health Network of Central New York, Inc.Group PAC ID 2668385014, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nancy.dickerson.1@28343.direct.athenahealth.com

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.

• Family Health Network of Central New York, Inc.

  • Federally Qualified Health Center (FQHC)
  • Homer, NY
  • NPI 1043374853

  NY

  Medicare reassignment Care Compare group
• Family Health Network of Central New York, Inc.

  • Federally Qualified Health Center (FQHC)
  • Homer, NY
  • NPI 1811342827
  Care Compare group NPD (past)
• Family Health Network of Central New York, Inc

  • Federally Qualified Health Center (FQHC)
  • Cortland, NY
  • NPI 1093946691
  Care Compare group
• Family Health Network of Central New York, Inc

  • Federally Qualified Health Center (FQHC)
  • Marathon, NY
  • NPI 1114158276
  Care Compare group
• Family Health Network of Central New York, Inc

  • Federally Qualified Health Center (FQHC)
  • Moravia, NY
  • NPI 1588895197
  Care Compare group
• Family Health Network of Central New York, Inc

  • Federally Qualified Health Center (FQHC)
  • Cincinnatus, NY
  • NPI 1659654101
  Care Compare group
• Family Health Network of Central New York, Inc.

  • Federally Qualified Health Center (FQHC)
  • Homer, NY
  • NPI 1780633982
  Care Compare group

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1801010038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 SOUTH WEST STREET",
            "city": "HOMER",
            "state": "NY",
            "postal_code": "130771500",
            "telephone_number": "607-753-3797",
            "fax_number": "607-753-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4038 WEST RD",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451842",
            "telephone_number": "607-758-3008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Groton Ave",
            "address_purpose": "LOCATION",
            "city": "Cortland",
            "state": "NY",
            "postal_code": "130452014",
            "country_code": "US",
            "telephone_number": "607-753-3774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "72 S Main St",
            "address_purpose": "LOCATION",
            "city": "Homer",
            "state": "NY",
            "postal_code": "130771630",
            "country_code": "US",
            "telephone_number": "607-423-1767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "NANCY",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R056531-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER IDENTIFICATION #",
            "identifier": "06-1751170",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02835032",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Homer",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4038 West Rd",
            "city": "Cortland",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130451842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katie Devoe
• Briana Rae Dewitt, PA-C
• Jaskirat Dhillon, DDS
• Anthony J Di Giovanna, MD
• Stacey M. Dicke, L.P.N.
• Meagan Diego, PA-C
• Amy Y Difabio, MD
• Patricia J Digiovanna, FNP
• Anna Laura Dill, M.D.
• Samantha Dinse, NP

• All providers in Cortland, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.