Angela N Dickerson, LCSW | |
4410 Claiborne Sq E Ste 334, Hampton, VA 23666-2074 | |
(757) 751-9591 | |
(757) 720-4180 |
Full Name | Angela N Dickerson |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 4410 Claiborne Sq E Ste 334, Hampton, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629515424 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.018754 (* (Not Available)) | Primary |
Entity Name | Positive Change Therapeutic Solutions Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417700436 PECOS PAC ID: 7517305527 Enrollment ID: O20240409003487 |
Mailing Address | Practice Location Address |
---|---|
Angela N Dickerson, LCSW 48 Calhoun St, Hampton, VA 23669-2434 Ph: (618) 306-2596 | Angela N Dickerson, LCSW 4410 Claiborne Sq E Ste 334, Hampton, VA 23666-2074 Ph: (757) 751-9591 |
Ms. Charon Dubose, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2244 Executive Dr, Hampton, VA 23666 Phone: 757-827-1001 | |
Rebecca Myers, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-722-4034 | |
Angela Mcdowell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 701 Howmet Dr Ste 160, Hampton, VA 23661 Phone: 757-251-6376 | |
Ann Graham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2244 Executive Dr, Hampton, VA 23666 Phone: 757-827-1001 | |
Miss Tina Maria Crocco, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-922-9961 | |
Carin Danielle Hamilton, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2019 Cunningham Dr Ste 301, Hampton, VA 23666 Phone: 757-535-9080 | |
Robert Washington, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-722-9961 |