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DEANDRE DICKERSON
NPI 1013641059
Peer Specialist in Gardena, CA

Active since July 14, 2022
15519 CRENSHAW BLVD, GARDENA, CA 90249(310) 679-2730 Get Directions Write a Review

NPPES record last updated: July 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deandre Dickerson NPPES

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

DEANDRE DICKERSON (NPI 1013641059) is an individual peer specialist in Gardena, California and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1013641059
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameDEANDRE DICKERSON
Location Address15519 CRENSHAW BLVDGardena, CA 90249-4525
Mailing Address15519 Crenshaw BlvdGardena, CA 90249-4525 · (310) 679-2730
Phone(310) 679-2730
Sole ProprietorYes
Enumeration DateJuly 14, 2022
NPPES CertifiedJuly 14, 2022
✔ NPI 1013641059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
15519 CRENSHAW BLVD, Gardena, CA 90249
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Other Providers at the Same Location NPPES 20

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

MS. CELIA MARIE ARAGON
Counselor (Addiction (Substance Use Disorder))
15519 CRENSHAW BLVD
GARDENA, CA 90249
Los Angeles County (310) 679-9126
KERI LI LAWRENCE
Social Worker
15519 CRENSHAW BLVD
GARDENA, CA 90249
Los Angeles County (310) 679-9126
CHERISE STEPHENS
Counselor (Addiction (Substance Use Disorder))
15519 CRENSHAW BLVD
GARDENA, CA 90249
Los Angeles County (310) 679-9126
REGINA LORRAINE SANCHEZ SUDRC21439
Counselor (Addiction (Substance Use Disorder))
15519 CRENSHAW BLVD
GARDENA, CA 90249
Los Angeles County (310) 679-9031
KERRY DEENEY
Social Worker (Clinical)
15519 CRENSHAW BLVD
GARDENA, CA 90249
Los Angeles County (310) 363-3661
ADRIANA PASCACIO
Counselor (Addiction (Substance Use Disorder))
15519 CRENSHAW BLVD
GARDENA, CA 90249
Los Angeles County (310) 679-9126
CRYSTAL LYNN MCGHEE
Counselor (Addiction (Substance Use Disorder))
15519 CRENSHAW BLVD
GARDENA, CA 90249
Los Angeles County (562) 218-8387
TONY RUSHING
Counselor (Addiction (Substance Use Disorder))
15519 CRENSHAW BLVD
GARDENA, CA 90249
Los Angeles County (310) 679-9031

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 Deandre Dickerson's NPI number?

The NPI number for Deandre Dickerson is 1013641059. It was assigned to this individual provider in the NPPES registry on July 14, 2022.

Where is Deandre Dickerson located?

Deandre Dickerson practices at 15519 Crenshaw Blvd, Gardena, CA 90249. The listed phone number is (310) 679-2730.

What is Deandre Dickerson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Deandre Dickerson was last updated on July 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.