KELLY NICOLE DICKERSON LCSW
NPI 1003439928
Social Worker - Clinical in Monroe, GA

Active since May 27, 2020PECOS EnrolledAccepts Medicare Assignment
204 W SPRING ST, MONROE, GA 30655(770) 599-7508(866) 734-7631 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 31, 2024, May 27, 2020 (2 updates tracked since 2020).

About Kelly Nicole Dickerson Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY NICOLE DICKERSON LCSW (NPI 1003439928) is an individual clinical provider in Monroe, Georgia, licensed in Georgia (CSW007086) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1003439928
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY NICOLE DICKERSONCredential: LCSW
Location Address204 W SPRING STMonroe, GA 30655-1914
Mailing Address204 W Spring StMonroe, GA 30655-1914 · (770) 599-7508 · Fax (866) 734-7631
Fax(866) 734-7631
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 27, 2020
Last NPPES UpdateJuly 31, 20242 updates tracked since enumeration
NPPES CertifiedJuly 31, 2024
NPI 1003439928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in GA · CSW007086
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

204 W SPRING ST, Monroe, GA 30655

Other Names 1

Former Name (1)Kelly Jackson Dickerson

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelly Nicole Dickerson Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577001296
PECOS Enrollment IDI20240813002401
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30655 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.84 – $172.43
Typical copayment $0.00 (range $14.21 – $43.10)
Most-billed visit code NA
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
204 W SPRING ST
MONROE, GA 30655
Social Worker (Clinical)
204 W SPRING ST
MONROE, GA 30655
In Home Supportive Care
204 W SPRING ST
MONROE, GA 30655
Social Worker (Clinical)
204 W SPRING ST
MONROE, GA 30655
Social Worker (Clinical)
204 W SPRING ST
MONROE, GA 30655
Counselor (Mental Health)
204 W SPRING ST
MONROE, GA 30655
Psychologist (Counseling)
204 W SPRING ST
MONROE, GA 30655
Social Worker (Clinical)
204 W SPRING ST
MONROE, GA 30655

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Dickerson's NPI number?

The NPI number for Kelly Dickerson is 1003439928. It was assigned to this individual provider in the NPPES registry on May 27, 2020. The provider is also known as Kelly Jackson Dickerson.

Where is Kelly Dickerson located?

Kelly Dickerson practices at 204 W Spring St, Monroe, GA 30655. The listed phone number is (770) 599-7508.

What is Kelly Dickerson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kelly Dickerson enrolled in Medicare?

Yes. Kelly Dickerson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Dickerson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Kelly Dickerson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Dickerson was last updated on July 31, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.