Phyllis L Dickerson, LCSW | |
8990 Lorraine Rd, Gulfport, MS 39503-4176 | |
(228) 331-3310 | |
(228) 284-1608 |
Full Name | Phyllis L Dickerson |
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Gender | Female |
Speciality | Clinical Social Worker |
Experience | 44 Years |
Location | 8990 Lorraine Rd, Gulfport, Mississippi |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114204807 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2253C (Alabama) | Secondary |
1041C0700X | Social Worker - Clinical | C (Mississippi) | Primary |
Entity Name | Phyllis L. Dickerson Lcsw |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750802534 PECOS PAC ID: 9537413810 Enrollment ID: O20181127000699 |
Mailing Address | Practice Location Address |
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Phyllis L Dickerson, LCSW 8990 Lorraine Rd, Gulfport, MS 39503-4176 Ph: (228) 331-3310 | Phyllis L Dickerson, LCSW 8990 Lorraine Rd, Gulfport, MS 39503-4176 Ph: (228) 331-3310 |
Dr. Shelia Rivers, DSW, LCSW, MPH Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 417 Security Sq, Gulfport, MS 39507 Phone: 707-728-5131 | |
Mrs. Mona Marie Holloway, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1520 29th Ave Ste 36, Gulfport, MS 39501 Phone: 228-591-1442 | |
Ms. Susan Elizabeth Pyles, LCSW, BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11070 David St, Gulfport, MS 39503 Phone: 228-990-5217 Fax: 228-594-9155 | |
Miss Juliet Liuzza, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1450 North St, Gulfport, MS 39507 Phone: 228-219-5995 | |
Mrs. Jocelyn Gavin-lane, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 10585 Three Rivers Rd, Suite C, Gulfport, MS 39503 Phone: 228-604-0099 Fax: 228-604-2001 | |
Dr. Lauren Suzanne Zakaras, LCSW, DBH Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15465 Oak Ln, Ste. D, Gulfport, MS 39503 Phone: 765-720-3730 | |
Shannon Deirdre Bradley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5502 Marvin Shields Blvd, Gulfport, MS 39501 Phone: 228-822-5710 |