CAROL S DICKERSON (NPI# 1104871151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104871151 |
| Entity Type | Individual |
| Full Name | CAROL S DICKERSON |
| Other Name | CAROL M SACHSE |
| Credential | LCSW |
| Practice Address |
33 E Jackson St Marshall MO 65340-2153 |
| Mailing Address |
Po Box 7687 Columbia MO 65205-7687 |
| Practice Telephone | 6608868063 |
| Practice Fax Number | 6608863051 |
| Mailing Telephone | 5738822259 |
| Mailing Fax Number | 5738848526 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW004511 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | HEALTHLINK | 324643 | 01 |
| MO | BLUE SHIELD/BLUE CHOICE | 127133 | 01 |
| MO | KANSAS MEDICARE | K51A688 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568434173 | Carol Ann Dickerson | Nurse Practitioner | 8301 State Line Rd, #100, Kansas City, MO 64114-2025 | 2006-02-07 |
| 1588145767 | Carol Dickerson | Speech-Language Pathologist | 144 Washington Rd, Edgewater, MD 21037-1412 | 2018-08-24 |
| Street Address |
33 E JACKSON ST |
| City | MARSHALL |
| State | MO |
| Zip Code | 65340-2153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760974596 | Nicole Darlene Ethridge | Counselor | 33 E Jackson St, Marshall, MO 65340-2153 | 2018-06-06 |
| 1013463348 | Kali Rae Hoffmann | Social Worker | 33 E Jackson St, Marshall, MO 65340 | 2016-08-28 |
| 1104243161 | Robin R Rasse-cott | Counselor | 33 E Jackson St, Marshall, MO 65340 | 2014-03-27 |
| 1669802021 | Laura Suzanne Baker | Counselor | 33 E Jackson St, Marshall, MO 65340-2153 | 2013-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791847 | Gerald D Robertson | Chiropractor | 1566 S Odell Ave, Marshall, MO 65340 | 2019-07-15 |
| 1659860765 | William L Pearman | Nurse Practitioner | Marshall Emergency Physicians, 2305 South Highway 65, Marshall, MO 65340 | 2018-05-03 |
| 1992204978 | Susan Elizabeth Lichtenberg | Speech-Language Pathologist | 860 W. Vest St., Marshall, MO 65340 | 2018-02-06 |
| 1568974616 | Falin Kay Larsen | Family Medicine | 2303 Us-65, Marshal, MO 65340 | 2017-10-30 |
| 1881132587 | Dana Zinn | Nurse Practitioner | 1547 Commerce Dr, Marshall, MO 65340 | 2017-02-02 |
| 1760877179 | Lifetime Dental Associates | Dentist | 2301 S. 65 Hwy, Suite 1, Marshall, MO 65340 | 2015-04-02 |
| 1780078949 | Glenda Cervantes | Interpreter | 1324 S Ellswort Ave, Marshall, MO 65340 | 2015-03-26 |
| 1174922173 | Michelle Stockman | Licensed Practical Nurse | 1004 S. Lincoln Ave, Marshall, MO 65340 | 2014-08-15 |
| 1730527722 | Lynn C Evans | Pharmacist | 941 S. Cherokee, Suite 1, Marshall, MO 65340 | 2013-06-12 |
| 1740589753 | Bethany Anne Harris | Social Worker | 1126 E. Hwy Ww, Marshall, MO 65340 | 2011-03-17 |
| Find all providers in zip 65340 | ||||
| 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 |
|---|---|---|---|---|
| 1649800764 | Sabrina Maria Ulrich | Social Worker | 238 W Main St Ste 5, Marshall, MN 56258-1398 | 2020-01-16 |
| 1023678547 | Crystal Marie Dowding | Social Worker | 18720 16 Mile Rd, Marshall, MI 49068-9436 | 2019-06-17 |
| 1801321138 | Sabrina Maria Ulrich | Social Worker | 348 W Main St Ste 109, Marshall, MN 56258-1370 | 2017-04-24 |
| 1740589753 | Bethany Anne Harris | Social Worker | 1126 E. Hwy Ww, Marshall, MO 65340 | 2011-03-17 |
| 1548587686 | Mathew Carl Gass | Social Worker | 527 E Yerby St, Marshall, MO 65340-2319 | 2010-04-29 |
| 1386875342 | Randall E Riser | Social Worker | 221 N Gordon St, Marshall, MI 49068-1212 | 2009-08-06 |
| 1669618955 | Joyce Arends | Social Worker | 1424 Floyd Wild Dr, Marshall, MN 56258-2593 | 2008-12-17 |
| 1669642906 | Glenda E Pittman | Social Worker | 1180 Hwy Ww, Marshall, MO 65340 | 2008-03-03 |
| 1891999264 | Michael E Larsen | Social Worker | 24620 Knox Dr, Marshall, MO 65340-4304 | 2007-06-12 |
| 1124163191 | David C Lopez | Social Worker | 620 S Grove St Ste 105, Marshall, TX 75670-5295 | 2007-02-20 |
| Find all providers in MARSHALL | ||||
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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.