MS. KELLY S DICKSON (NPI# 1023241924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023241924 |
| Entity Type | Individual |
| Full Name | MS. KELLY S DICKSON |
| Credential | LCSW |
| Practice Address |
7 Municipal Way Edgewood NM 87015 |
| Mailing Address |
7 Municipal Way First Choice Community Healthcare, Inc Edgewood NM 87015-7086 |
| Practice Telephone | 5058737462 |
| Mailing Telephone | 5058737462 |
| Mailing Fax Number | 5052415188 |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2020-06-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | M-08815 | NM | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C-10136 | NM | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3100 Oak St, Las Cruces, NM 880053769 | 5755232288 | 5755232299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720520307 | Kelly Dickson | Occupational Therapist | 3459 5th Ave, Pittsburgh, PA 15213-3236 | 2016-11-14 |
| 1164761573 | Kelly Ann Dickson | Pharmacist | 105 Wheatfield Dr, Suite #2, Milford, PA 18337-7809 | 2013-02-05 |
| 1780993238 | Kelly Jyunko Dickson | Counselor | 8616 La Tijera Blvd Ste 200, Los Angeles, CA 90045-3945 | 2010-10-01 |
| Street Address |
7 MUNICIPAL WAY |
| City | EDGEWOOD |
| State | NM |
| Zip Code | 87015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063494409 | Saverio Joseph Sava | Family Medicine | 7 Municipal Way, Edgewood, NM 87015 | 2005-11-18 |
| 1194383752 | Craig Testerman | Dentist | 7 Municipal Way, Edgewood, NM 87015-7086 | 2019-05-30 |
| 1306276241 | Danielle Denise Draper | Family Medicine | 7 Municipal Way, Edgewood, NM 87015 | 2013-11-13 |
| 1871930099 | Melissa D Jackson | Dentist | 7 Municipal Way, Edgewood, NM 87015 | 2013-05-29 |
| 1962663153 | First Choice Community Healthcare, Inc | Clinic/Center | 7 Municipal Way, Edgewood, NM 87015-7086 | 2008-06-19 |
| 1265449094 | Monica Briones | Family Medicine | 7 Municipal Way, Edgewood, NM 87015 | 2006-08-02 |
| 1861474207 | Deborah Joan Fuller | Nurse Practitioner | 7 Municipal Way, Edgewood, NM 87015 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740772490 | Laura Hunsucker | Physical Therapist | 1090 Mountain Valley Road, Edgewood, NM 87015 | 2018-05-30 |
| 1295194629 | Ryan Grange | Physician Assistant | 1851 Old Highway 66 Unit 1, Edgewood, NM 87015 | 2016-02-12 |
| 1376895250 | Bianca Genco-morrison | Social Worker | 17 Venus Rd. West, Edgewood, NM 87015 | 2012-10-03 |
| 1447541909 | Rona H Vanwilligen | Physical Therapist | 1851 Highway 333, 2-b, Edgewood, NM 87015 | 2011-05-02 |
| 1679717789 | Alan Mannheimer | Pediatrics | 104 Quail Trail, Unit B, Edgewood, NM 87015 | 2009-04-21 |
| 1003085705 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 66 State Road #344, Edgewood, NM 87015 | 2008-02-27 |
| 1821270828 | Fowler Enterprises, Inc. | Physical Therapist | 1851-2b Old Highway 66, Edgewood, NM 87015 | 2007-11-30 |
| 1366630121 | Jeana Spindle | Speech-Language Pathologist | 27 Camino Estribor, Edgewood, NM 87015 | 2007-10-05 |
| 1679794457 | Sharon Louise Meyer | Social Worker | 14 El Prado, Edgewood, NM 87015 | 2007-05-01 |
| 1912035478 | Cecilia Gonzales Morris | Occupational Therapist | 204 Dinkle Road, Edgewood, NM 87015 | 2007-02-28 |
| Find all providers in zip 87015 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902451842 | Melissa Louise Hartman | Social Worker | 1892 Eastfields Way, Edgewood, MD 21040-3114 | 2019-08-07 |
| 1396244265 | Kellie Ann Tomlin | Social Worker | 215 Cowboy Way, Edgewood, NM 87015-9616 | 2018-02-06 |
| 1407276389 | Jessica Schworer | Social Worker | 581 Dudley Pike Ste A, Edgewood, KY 41017-3297 | 2014-04-18 |
| 1174829170 | Roxroy Anthony Reid | Social Worker | 25 Camino Collado, Edgewood, NM 87015-9788 | 2011-02-08 |
| 1194026211 | Kim Bennett-selby | Social Worker | 1331 Charlestown Dr, Edgewood, MD 21040-2204 | 2010-11-04 |
| 1154504777 | Sherry Lynn Lebeznick Brown | Social Worker | 8 Casey Ct, Edgewood, NM 87015-7120 | 2007-12-06 |
| 1477187219 | Ian Aiuto | Social Worker | 925 Dudley Pike, Edgewood, KY 41017-8120 | 2020-03-02 |
| 1083248827 | Jennifer Knuckles | Social Worker | 925 Dudley Pike, Edgewood, KY 41017-8120 | 2020-03-02 |
| 1437783271 | Maegan Callebs | Social Worker | 925 Dudley Pike, Edgewood, KY 41017-8120 | 2020-03-02 |
| 1992339733 | Jade E Bailey | Social Worker | 925 Dudley Pike, Edgewood, KY 41017-8120 | 2020-03-02 |
| Find all providers in EDGEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.