Eileen-Carol M Dick, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3764 Issued in KY

Practice address

250 Belmont Ave
Ste 3
Somerset, KY 42501

Phone

(606) 677-0253

NPI assigned

Nov 7, 2012

Last updated

Jul 21, 2022By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972857381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 BELMONT AVE",
            "address_2": "STE 3",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "42501",
            "telephone_number": "606-677-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BELMONT AVE",
            "address_2": "STE 3",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "42501",
            "telephone_number": "606-677-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICK",
        "first_name": "EILEEN-CAROL",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790731081",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Devlin
• Chasity Dezarn
• Alice Diaz, LPCA
• Amanda Carol Dick, CSW
• Candace Dick, CPSS, CSA
• Elizabeth Dick, PEER SUPPORT SPEC
• Katie Dick, DO
• Sarah Dick, MSW
• Shannon Dick, PBSS
• Angela Diescher, LPCC

• Clinical Social Worker in Somerset, KY
• Providers in Somerset, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.