ALEXUSIA DICKERSON (NPI# 1154949782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154949782 |
Entity Type | Individual |
Full Name | ALEXUSIA DICKERSON |
Credential | MA NCC LPC-A |
Practice Address |
115 Catawba Hill Dr Elgin SC 29045-7140 |
Mailing Address |
44 Saughtree Ln Elgin SC 29045-8375 |
Practice Telephone | 8033185073 |
Mailing Telephone | 8033185073 |
Enumeration Date | 2020-07-09 |
Last Update Date | 2020-07-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
LPCA7295 | SC | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | LLR | LPCA7295 | 01 |
Street Address |
115 CATAWBA HILL DR |
City | ELGIN |
State | SC |
Zip Code | 29045-7140 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669079901 | Kelley Brown Davis | Nurse Practitioner | 2689 Us-1, Elgin, SC 29045 | 2020-10-08 |
1265089494 | Felicity Garrick | Occupational Therapist | 385 Spears Creek Church Road, Elign, SC 29045 | 2019-08-22 |
1629537303 | Traisha White Campfield | Pharmacist | 1107 Ross St, Elgin, SC 29045 | 2019-03-13 |
1922526722 | Talesia Jackson | Specialist/Technologist | 1127 Triple Crown Court, Elgin, SC 29045 | 2017-09-01 |
1649697228 | All South Case Management | Exclusive Provider Organization | 216 Sunday Silence Lane, Elgin, SC 29045 | 2014-03-21 |
1235481151 | Karen C. Taylor | Counselor | 2439 Main Street, Elgin, SC 29045 | 2012-10-03 |
1306135975 | Aftercare Medical Equipment & Supplies, Inc | Durable Medical Equipment & Medical Supplies | 1105 Ross St, Elgin, SC 29045 | 2011-04-04 |
1902032345 | Aftercare Home Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 1107 Ross Street, Elgin, SC 29045 | 2009-05-29 |
1962691592 | Pontiac Pharmacy | Pharmacy | 10535 A Two Notch Rd, Elgin, SC 29045 | 2007-10-19 |
1154529576 | Sarah Jones Disasa | Speech-Language Pathologist | 203 Parrish Walk, Elgin, SC 29045 | 2007-07-06 |
Find all providers in zip 29045 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902445075 | Eiliana M Silva | Counselor | 75 Market St Ste 12, Elgin, IL 60123-5061 | 2020-01-06 |
1093290124 | Nicholas W. Marchand | Counselor | 411 W River Rd, Elgin, IL 60123-1570 | 2018-09-25 |
1659855856 | Susan Virginia Raica | Counselor | 420 Wing Street,suite3, Elgin, IL 60123-6012 | 2018-09-24 |
1265963813 | Mary Peterson | Counselor | 221 Loesch Dr, Elgin, TX 78621-1101 | 2017-03-24 |
1699221440 | Stanley Glenn Bell | Counselor | 101 W 1st St, Suite F, Elgin, TX 78621-2659 | 2016-08-31 |
1659753002 | Piper Stratton | Counselor | 2000 Larkin Ave Ste 202, Elgin, IL 60123-5879 | 2015-06-22 |
1679901508 | Meghan Elizabeth Barrett | Counselor | 1845 Grandstand Pl Ste 200, Elgin, IL 60123-4983 | 2013-11-01 |
1396089538 | Michaela Sasheva Long | Counselor | 2362 South St Apt E, Elgin, IL 60123-4600 | 2012-11-10 |
1427306042 | Eric Mitchell Porter | Counselor | 452 N Mclean Blvd, Elgin, IL 60123-3273 | 2012-08-29 |
1477826220 | Kimberly A Watts | Counselor | 509 N Highway 95, Elgin, TX 78621 | 2012-02-09 |
Find all providers in ELGIN |
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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.