Jennie Dickson-Mills, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C009712 Issued in NC

Practice address

502 Rigsbee Ave Ste 203
Durham, NC 27701-2475

Phone

(919) 200-6641

NPI assigned

Jun 5, 2017

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496620800000",
    "number": "1841729720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3056",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275153056",
            "telephone_number": "919-200-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 RIGSBEE AVE STE 203",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277012475",
            "telephone_number": "919-200-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKSON-MILLS",
        "first_name": "JENNIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2017-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Averie Dickinson
• Bridget Dickinson, CNS
• Lily Mae Dickinson, MSW
• Tawana Rose Dickinson, MSN FNP-C
• Kristen Virginia Dicks, MD
• Arin Dickson
• Jeanette Louise Dickson
• Nina Victoria Didner
• Leah Annette Diebboll, DPT
• Anna Mae Diehl, M.D.

• Clinical Social Worker in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.