Mr Dale Dicker, MED LCSW is a
Social Worker - Clinical based in St Louis, Missouri. Mr Dale Dicker is licensed to practice in Missouri (license number 002320) and his current practice location is
11715 Administration Dr, Ste 101, St Louis, Missouri. He can be reached at his office (for appointments etc.) via phone at
(314) 993-8123.
NPI number for Mr Dale Dicker is 1053475111 and his current mailing address is 11715 Administration Dr, Ste 101, St Louis, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053475111.
Healthcare Provider's Profile
| Full Name | Mr Dale Dicker |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 11715 Administration Dr, St Louis, Missouri |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1053475111
- Provider Enumeration Date: 12/21/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Dale Dicker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053475111 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 000956 (Missouri) | Primary |
| 1041C0700X | Social Worker - Clinical | 002320 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Dale Dicker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Dale Dicker, MED LCSW
11715 Administration Dr, Ste 101,
St Louis, MO 63146
Ph: (314) 993-8123 | Mr Dale Dicker, MED LCSW
11715 Administration Dr, Ste 101,
St Louis, MO 63146
Ph: (314) 993-8123 |
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