Individual provider Active NPI

Lindsey Rae Dickison, LCSW

  • Clinical Social Worker
  • Rocky Hill, CT
National Provider Identifier
1891138368
Registry record updated Dec 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
175 Capital Blvd
FL 4
Rocky Hill, CT 06067-3914
Phone
(860) 380-0452
Fax
(860) 358-9842
NPI assigned
Apr 15, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

175 Capital Blvd
FL 4
Rocky Hill, CT 06067-3914

Mailing address

195 Oaklad St
Apt C
Manchester, CT 06042-8250
Phone (860) 380-0452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20160922001432 CT Practitioner - Clinical Social Worker 1951698794 Practice locations: Cromwell, CT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lindsey Dickison, LLC Clinical Current Accepting new patients

Locations

80 Shunpike Rd
Unit 101
Cromwell, CT 06416
Phone (203) 293-7293

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481846400000",
    "number": "1891138368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 OAKLAD ST",
            "address_2": "APT C",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060428250",
            "telephone_number": "860-380-0452",
            "fax_number": "860-358-9842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CAPITAL BLVD",
            "address_2": "FL 4",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673914",
            "telephone_number": "860-380-0452",
            "fax_number": "860-358-9842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKISON",
        "first_name": "LINDSEY",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-15",
        "last_updated": "2016-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Hill, CT

Sources for this page

Verify at the official NPI Registry.