Ms Keeshana C Dickens, LCSW-A, LCAS-A is a
Social Worker - Clinical based in Raleigh, North Carolina. Ms Keeshana C Dickens is licensed to practice in North Carolina (license number P021081) and her current practice location is
3125 Poplarwood Ct Ste 217, Raleigh, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(704) 910-0136.
NPI number for Ms Keeshana C Dickens is 1790522100 and her current mailing address is 1317 Legacy Falls Dr Apt 101, Wake Forest, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790522100.
Healthcare Provider's Profile
| Full Name | Ms Keeshana C Dickens |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 3125 Poplarwood Ct Ste 217, Raleigh, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1790522100
- Provider Enumeration Date: 07/11/2024
- Last Update Date: 07/30/2024
Medical Identifiers
Medical identifiers for Ms Keeshana C Dickens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790522100 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YS0200X | Counselor - School | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | P021081 (North Carolina) | 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. Ms Keeshana C Dickens 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 Keeshana C Dickens, LCSW-A, LCAS-A
1317 Legacy Falls Dr Apt 101,
Wake Forest, NC 27587-1873
Ph: (252) 289-5714 | Ms Keeshana C Dickens, LCSW-A, LCAS-A
3125 Poplarwood Ct Ste 217,
Raleigh, NC 27604-6445
Ph: (704) 910-0136 |
Reviews and Comments