Active NPI
Michele Dickey, LCSW
- Clinical Social Worker
- Folsom, CA
National Provider Identifier
1962696252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 21696
- Practice address
- 785 Orchard Dr Ste 100
Folsom, CA 95630-5558 - Phone
- (916) 206-0054
- NPI assigned
- Aug 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS 21696 | CA | Primary |
Addresses
Primary practice location
785 Orchard Dr Ste 100
Folsom, CA 95630-5558
Mailing address
785 Orchard Dr Ste 100
Folsom, CA 95630-5558
Phone (916) 206-0054
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 1, 2025 through Sep 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 21696 | CA | MD | Clinical Social Worker |
| 21696 | CA | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287619200000",
"number": "1962696252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "785 ORCHARD DR STE 100",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956305558",
"telephone_number": "916-206-0054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "785 ORCHARD DR STE 100",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956305558",
"telephone_number": "916-206-0054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKEY",
"first_name": "MICHELE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-30",
"last_updated": "2010-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 21696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.