MS. WENDY DICKERSON (NPI# 1538343207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538343207 |
| Entity Type | Individual |
| Full Name | MS. WENDY DICKERSON |
| Credential | LCSW |
| Practice Address |
9403 A Pocahantas Trail Providence Forge VA 23140 |
| Mailing Address |
10299 Woodman Road Glen Allen VA 23060-4419 |
| Practice Telephone | 8049665959 |
| Practice Fax Number | 8049665694 |
| Mailing Telephone | 8047278517 |
| Mailing Fax Number | 8047278703 |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2009-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904006707 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | OPTIMA | O803448M | 01 |
| VA | ANTHEM | 345779 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922559640 | Wendy S Dickerson | Naturopath | 3301 N Miller Rd Ste 130, Scottsdale, AZ 85251-6457 | 2016-10-18 |
| 1174153183 | Wendy Cargile Dickerson | Massage Therapist | 731 N Stanley St, Medical Lake, WA 99022-8940 | 2020-01-17 |
| Street Address |
9403 A POCAHANTAS TRAIL |
| City | PROVIDENCE FORGE |
| State | VA |
| Zip Code | 23140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740411925 | Srikanth Mahavadi | Podiatrist | 9050 Pocahontas Trail, Suite F, Providence Forge, VA 23140 | 2009-08-05 |
| 1538329339 | Aravind Kumar Reddy Kasireddy | Pharmacist | 9100 Pocahontas Trail, Providence Forge, VA 23140 | 2008-06-15 |
| 1528287463 | Randall Stephen Rosemond | Dentist | 3521 N Courthouse Road, Providence Forge, VA 23140 | 2007-04-25 |
| 1295879963 | Kim R Mcfadden | Physician Assistant | 9010 Pocahontas Trail, Providence Forge, VA 23140 | 2007-02-16 |
| 1326189226 | Andrea Michelle Johnson | Social Worker | 9403 Pocohantas Trail, Providence Forge, VA 23140 | 2007-02-12 |
| 1104902477 | Kent Paul Radwani | Social Worker | 9403 Pocohontas Trail, Providence Forge, VA 23140 | 2006-10-30 |
| 1609399419 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 9100 Pocahontas Trail, Providence Forge, VA 23140 | 2017-07-24 |
| 1326330085 | Jennifer Munn | Pharmacist | 9100 Pocahontas Trail, Providence Forge, VA 23140 | 2011-05-12 |
| 1366587396 | Janice V. Atwell | Social Worker | 9403 Pocohantas Trail, Providence Forge, VA 23140 | 2007-02-20 |
| 1437292455 | Clarice U. Baugh | Registered Nurse | 9403 Pocohantas Trail, Providence Forge, VA 23140 | 2007-02-15 |
| Find all providers in zip 23140 | ||||
| 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 |
|---|---|---|---|---|
| 1326189226 | Andrea Michelle Johnson | Social Worker | 9403 Pocohantas Trail, Providence Forge, VA 23140 | 2007-02-12 |
| 1104902477 | Kent Paul Radwani | Social Worker | 9403 Pocohontas Trail, Providence Forge, VA 23140 | 2006-10-30 |
| 1366587396 | Janice V. Atwell | Social Worker | 9403 Pocohantas Trail, Providence Forge, VA 23140 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780420 | Sharon Bixby | Social Worker | 10165 Meadows Rd, Locust Grove, VA 22508-9612 | 2020-11-08 |
| 1518568518 | Ruth Ilboudo | Social Worker | 15732 John Diskin Cir, Woodbridge, VA 22191-6550 | 2020-11-05 |
| 1639770597 | Tracy Ann Carroll | Social Worker | 16200 Saville Chase Ln, Midlothian, VA 23112-4585 | 2020-11-05 |
| 1801497037 | Miriam Matthews | Social Worker | 503 Arbre Ct, Virginia Beach, VA 23451-6001 | 2020-11-04 |
| 1215538475 | Yvonne Cotton | Social Worker | 3201 Churchland Blvd Suite 3, Chesapeake, VA 23321 | 2020-11-04 |
| 1932700382 | Caitlin Duggan | Social Worker | 5712 Oak Knoll Rd, Midlothian, VA 23112-2400 | 2020-11-03 |
| 1285234021 | Sabrina Kafin Weiskind | Social Worker | 13221 Point Pleasant Dr, Fairfax, VA 22033-3508 | 2020-10-30 |
| 1932709714 | Jennifer Lynn Sistrunk | Social Worker | 5608 Riverside Heights Way, Richmond, VA 23225-2478 | 2020-10-29 |
| 1841890027 | Heather D Hiner | Social Worker | 735 Sanhill Dr, Lynchburg, VA 24502-4923 | 2020-10-28 |
| 1518567627 | Emily Apkarian | Social Worker | 923 E Ocean View Ave, Norfolk, VA 23503-1909 | 2020-10-28 |
| Find all providers with the same taxonomy | ||||
| City | PROVIDENCE FORGE |
| Zip Code | 23140 |
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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.