MARY LEE DICKERSON (NPI# 1801171525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801171525 |
| Entity Type | Individual |
| Full Name | MARY LEE DICKERSON |
| Credential | LCSW |
| Practice Address |
965 N Goodman St Rochester NY 14609-3930 |
| Mailing Address |
3063 Culver Rd Rochester NY 14622-2635 |
| Practice Telephone | 5852883654 |
| Mailing Telephone | 5853387227 |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2011-10-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041S0200X |
Social Worker Specialization: School |
RO44519-1 | NY | Behavioral Health & Social Service Providers |
| Y | 1041S0200X |
Social Worker Specialization: School |
1041SO200X | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225193097 | Mary Ellen Dickerson | Counselor | 2909 W Collin, Corsicana, TX 75110 | 2006-12-22 |
| 1801411863 | Mary Helen Dickerson | Counselor | 3648 El Portal Dr, Redding, CA 96002-3133 | 2020-06-15 |
| 1689005225 | Mary Dickerson | Registered Nurse | 30207 Frankford School Rd, Frankford, DE 19945-2616 | 2013-12-09 |
| 1811249162 | Mary G. Dickerson | Counselor | 368 Fell St, San Francisco, CA 94102-5144 | 2012-10-11 |
| 1104105709 | Mary W. Dickerson | Registered Nurse | 301 S 70th St, Suite 200, Lincoln, NE 68510-2469 | 2011-08-12 |
| 1972543445 | Mary Curry Dickerson | Specialist | 10154 Jefferson Hwy, Baton Rouge, LA 70809-2725 | 2006-06-06 |
| Street Address |
965 N GOODMAN ST |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14609-3930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629162680 | Lisa A Harrison | Speech-Language Pathologist | 965 N Goodman St, Rochester, NY 14609-3930 | 2006-10-03 |
| 1710435342 | Ashley Ryan Wheeler | Speech-Language Pathologist | 965 N Goodman St, Rochester, NY 14609-3930 | 2016-09-12 |
| 1871885608 | Jennifer A Kobos | Speech-Language Pathologist | 965 N Goodman St, Rochester, NY 14609-3930 | 2011-05-12 |
| 1720381668 | Meredith Couch Paris | Speech-Language Pathologist | 965 N Goodman St, Rochester, NY 14609-3930 | 2010-12-15 |
| 1881902773 | Jeanne Carol Westa | Speech-Language Pathologist | 965 N Goodman St, Rochester, NY 14609-3930 | 2010-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928828 | Aundrea Camille Williams | Licensed Practical Nurse | 99 Meaodw Circle, Rochester, NY 14609 | 2020-10-06 |
| 1043836869 | Sharon Ann Reilly | Registered Nurse | 910 North Goodman Street, Suite 1, Rochester, NY 14609 | 2020-06-17 |
| 1235655671 | Tameka Shaunte Parker | Licensed Practical Nurse | 35 Village Way, Rochester, NY 14609 | 2017-08-17 |
| 1851817472 | Mary Ann Dukes | Registered Nurse | 75 Yates Street, Rochester, NY 14609 | 2017-08-15 |
| 1023533064 | Fernando Caumont | Urology | 2615 Culver Rd Ste 100, Rochester, NY 14609 | 2017-08-10 |
| 1083061162 | Teyanee Latavia Harewood | Registered Nurse | 418 Hayward Ave, Rochester, NY 14609 | 2016-05-19 |
| 1164853891 | Sukhminder Kaur Sahansra | Internal Medicine | 335 North Park Drive, Elderone, Rochester, NY 14609 | 2013-12-05 |
| 1952749863 | Nada Jadrovska | Registered Nurse | 79 Eagle Rock Dr, Rochester, NY 14609 | 2013-06-13 |
| 1457602930 | Lynnetta Maria Hollomon | Licensed Practical Nurse | 827 Edgecreek Trail, Rochester, NY 14609 | 2012-09-25 |
| 1568711596 | Anthony L. Jordan Health Corporation | Clinic/Center | 151 Parsells Ave, Jordan Health At Community Place, Rochester, NY 14609 | 2012-09-06 |
| Find all providers in zip 14609 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215287925 | Deborah Ann Felton | Social Worker | 940 Fernwood Park, Rochester, NY 14609-2639 | 2012-09-11 |
| 1972876167 | Diane Marie Alexander | Social Worker | 131 West Broad Street, Rcsd, Rochester, NY 14614 | 2012-02-17 |
| 1881971059 | Vernetta Brown | Social Worker | 256 Adams St, Rochester, NY 14608-2334 | 2011-11-15 |
| 1962788539 | Michelle C. Garcia | Social Worker | 60 Coventry Ave, Rochester, NY 14610-1025 | 2011-10-27 |
| 1619252012 | Marie Fern Bellanti | Social Worker | 85 St. Jacob Street, Rochester, NY 14621 | 2011-10-17 |
| 1154606770 | Jini S N Figueroa | Social Worker | 337 Empire Blvd, Rochester, NY 14609-4457 | 2011-10-14 |
| 1023393931 | Ann C Miraglia | Social Worker | 7 Donlin Dr, Rochester, NY 14624-1902 | 2011-10-12 |
| 1366726598 | Mary Sassone | Social Worker | 17 Cross Bow Dr, Rochester, NY 14624-4709 | 2011-10-06 |
| 1386928570 | Ana Paola Machuca | Social Worker | 2786 Ridgeway Ave, Rochester, NY 14626-4211 | 2011-10-05 |
| 1194035410 | Marc J Bigsby | Social Worker | 150 Colebrook Dr, Rochester, NY 14617-2216 | 2010-10-20 |
| Find all providers in ROCHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.