Ms Joan P Dickerson, MS,LCSW, LMFT, LPC is a
Social Worker - Clinical based in Wauwatosa, Wisconsin. Ms Joan P Dickerson is licensed to practice in Wisconsin (license number 1178-123) and her current practice location is
3333 N Mayfair Rd, Suite 210, Wauwatosa, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(414) 750-8033.
NPI number for Ms Joan P Dickerson is 1487661757 and her current mailing address is P. O. Box 593, Sturtevant, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487661757.
Healthcare Provider's Profile
| Full Name | Ms Joan P Dickerson |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 3333 N Mayfair Rd, Wauwatosa, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1487661757
- Provider Enumeration Date: 08/01/2006
- Last Update Date: 11/04/2011
Medical Identifiers
Medical identifiers for Ms Joan P Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487661757 | NPI | - | NPPES |
| 40918800 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 340-125 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 1178-123 (Wisconsin) | Primary |
| 106H00000X | Marriage & Family Therapist | 391-124 (Wisconsin) | Secondary |
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. Ms Joan P Dickerson 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 |
|---|
Ms Joan P Dickerson, MS,LCSW, LMFT, LPC
P. O. Box 593,
Sturtevant, WI 53177-0593
Ph: (414) 750-8033 | Ms Joan P Dickerson, MS,LCSW, LMFT, LPC
3333 N Mayfair Rd, Suite 210,
Wauwatosa, WI 53222-3219
Ph: (414) 750-8033 |
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