Paul Dickerson, MSW, LCSW | |
600 N Jackson St Ste 300, Media, PA 19063-2530 | |
(610) 557-1991 | |
Not Available |
Full Name | Paul Dickerson |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 600 N Jackson St Ste 300, Media, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730319823 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW127124 (Pennsylvania) | Secondary |
1041C0700X | Social Worker - Clinical | CW023091 (Pennsylvania) | Primary |
Entity Name | Thrive Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20210429000005 |
Mailing Address | Practice Location Address |
---|---|
Paul Dickerson, MSW, LCSW 600 N Jackson St Ste 300, Media, PA 19063-2530 Ph: (610) 557-1991 | Paul Dickerson, MSW, LCSW 600 N Jackson St Ste 300, Media, PA 19063-2530 Ph: (610) 557-1991 |
Vinte Clemons, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 N Olive St, Media, PA 19063 Phone: 610-566-7540 | |
Krystalyn T Davis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1295 N Providence Rd Apt F015r, Media, PA 19063 Phone: 484-326-9733 | |
Cynthia Ann Mcpherson, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 331 W State St, Media, PA 19063 Phone: 202-262-3114 | |
Jeanette Redmond, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 216 S Orange St, 439 South Ave., Media, PA 19063 Phone: 610-566-5886 Fax: 610-566-5886 | |
Wendi Haldeman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 42 E Front St, Media, PA 19063 Phone: 610-627-9060 Fax: 610-892-2774 | |
Roynell Sanders, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 N Olive St, Media, PA 19063 Phone: 610-566-7540 Fax: 610-566-7677 | |
Ms. Marcy Jill Seminoff, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 113 N Olive St, Media, PA 19063 Phone: 610-328-6751 |