TRACY L DICKERSON (NPI# 1063042224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063042224 |
| Entity Type | Individual |
| Full Name | TRACY L DICKERSON |
| Practice Address |
103 2nd Ave Chesapeake OH 45619-1134 |
| Practice Telephone | 7404517627 |
| Mailing Telephone | 7404517627 |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-01-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568983112 | Tracy Dickerson | Marriage & Family Therapist | 8170 Beverly Blvd Ste 207, Los Angeles, CA 90048-4532 | 2017-07-05 |
| 1124334149 | Tracy Jeannette Dickerson | Psychologist | 350 Kresge Lane, Sparks, NV 89431 | 2010-08-27 |
| 1629391040 | Tracy Dickerson | Massage Therapist | 1802 Eagle Harbor Ln Ne, Bainbridge Island, WA 98110-2142 | 2010-03-12 |
| 1356570634 | Tracy Dickerson | Physician Assistant | 2100 Dorchester Ave, Dept. of Surgery, Dorchester Center, MA 02124-5615 | 2009-07-08 |
| 1942453113 | Tracy Dickerson | Nurse Anesthetist, Certified Registered | 2801 Bay Park Dr, Oregon, OH 43616-4920 | 2008-10-31 |
| Street Address |
103 2ND AVE |
| City | CHESAPEAKE |
| State | OH |
| Zip Code | 45619-1134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518356708 | Riverside Recovery Services LLC | Community/Behavioral Health | 103 2nd Ave, Chesapeake, OH 45619-1134 | 2015-01-12 |
| 1497354971 | Cayla D Rice | Case Manager/Care Coordinator | 103 2nd Ave, Chesapeake, OH 45619-1134 | 2020-10-26 |
| 1053918912 | Lura N Cooper | Case Manager/Care Coordinator | 103 2nd Ave, Chesapeake, OH 45619-1134 | 2020-10-05 |
| 1033725890 | Brandi M Nichols | Counselor | 103 2nd Ave, Chesapeake, OH 45619-1134 | 2020-09-17 |
| 1326651860 | Britany Carrico | Case Manager/Care Coordinator | 103 2nd Ave, Chesapeake, OH 45619-1134 | 2020-08-25 |
| 1184235145 | Jamecia L James | Social Worker | 103 2nd Ave, Chesapeake, OH 45619-1134 | 2020-08-13 |
| 1700495066 | Rosehanna E Plumley | Case Manager/Care Coordinator | 103 2nd Ave, Chesapeake, OH 45619-1134 | 2020-07-23 |
| 1679191852 | Kira M Cherry | Case Manager/Care Coordinator | 103 2nd Ave, Chesapeake, OH 45619-1134 | 2020-07-14 |
| 1497379887 | Marissa L Moore | Counselor | 103 2nd Ave, Chesapeake, OH 45619-1134 | 2020-06-02 |
| 1114541562 | Kristy Byrd | Social Worker | 103 2nd Ave, Chesapeake, OH 45619-1134 | 2020-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023644432 | Bridge Pt, LLC | Clinic/Center | 3748 Sr-7, Optional, Chesapeake, OH 45619 | 2020-03-17 |
| 1881183218 | Thomas D Freeze | Case Manager/Care Coordinator | 95 Pvt Dr. 6999 Cr 15, Chesapeake, OH 45619 | 2018-05-01 |
| 1124550892 | Jeremy Ray Knipp | Case Manager/Care Coordinator | 95 Private Drive 6999 # 15, Chesapeake, OH 45619 | 2017-03-31 |
| 1821297292 | Carolyn Sue Mantey | Registered Nurse | 7543 County Road 15, Chesapeake, OH 45619 | 2007-07-16 |
| 1164634085 | Home Sweet Home | Assisted Living Facility | 304 3rd Ave, Chesapeake, OH 45619 | 2007-05-04 |
| 1013138288 | Home Sweet Home | Assisted Living Facility | 302 3rd Ave, Chesapeake, OH 45619 | 2007-05-02 |
| 1427574326 | Rosie Gene Russell | Counselor | 421 Riverside Dr, Chesapeake, OH 45619-1020 | 2017-08-22 |
| 1346735230 | Sean Beckett | Case Manager/Care Coordinator | 421 Riverside Dr, Chesapeake, OH 45619-1020 | 2018-06-25 |
| 1437656725 | Jason Burgard | Case Manager/Care Coordinator | 421 Riverside Dr, Chesapeake, OH 45619-1020 | 2018-04-12 |
| 1013029834 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 517 3rd Ave, Chesapeake, OH 45619-1036 | 2006-08-31 |
| Find all providers in zip 45619 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265904437 | Veronica Davis Mcmillian | Case Manager/Care Coordinator | 1712 Rokeby Ave, Chesapeake, VA 23320-2228 | 2018-12-27 |
| 1700361581 | Chad E Williams | Case Manager/Care Coordinator | 95 Private Drive 6999, Chesapeake, OH 45619-8026 | 2018-09-27 |
| 1881183218 | Thomas D Freeze | Case Manager/Care Coordinator | 95 Pvt Dr. 6999 Cr 15, Chesapeake, OH 45619 | 2018-05-01 |
| 1124550892 | Jeremy Ray Knipp | Case Manager/Care Coordinator | 95 Private Drive 6999 # 15, Chesapeake, OH 45619 | 2017-03-31 |
| 1730534181 | Katherine Wingate Brooks | Case Manager/Care Coordinator | 305 Citizen Cir, Chesapeake, VA 23325-4803 | 2016-05-03 |
| 1548697253 | Brian R Hermann | Case Manager/Care Coordinator | 3537 Forest Haven Ln, Chesapeake, VA 23321 | 2013-09-26 |
| 1598191744 | Kari Higginbotham | Case Manager/Care Coordinator | 918 Montebello Cir, Chesapeake, VA 23322-7264 | 2013-09-19 |
| 1477154862 | Aleshia K Napier | Case Manager/Care Coordinator | 1560 County Road 31, Chesapeake, OH 45619-8073 | 2020-11-03 |
| 1497354971 | Cayla D Rice | Case Manager/Care Coordinator | 103 2nd Ave, Chesapeake, OH 45619-1134 | 2020-10-26 |
| 1851990337 | Tayona Q Powell | Case Manager/Care Coordinator | 1560 County Road 31, Chesapeake, OH 45619-8073 | 2020-10-26 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 45619 |
Please comment or provide details below to improve the information on TRACY L DICKERSON.
| 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.