JOHN ANDREW DICKERSON
NPI 1093357766
Social Worker - Clinical in Plattsburg, MO

Active since October 14, 2019
609 SOUTH FAITH STREET, PLATTSBURG, MO 64477(816) 592-1591 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Andrew Dickerson NPPES

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

JOHN ANDREW DICKERSON (NPI 1093357766) is an individual clinical provider in Plattsburg, Missouri, licensed in Missouri (2023039684) and active in the NPI registry since October 2019. He maintains a secondary practice location in Saint Joseph.

NPPES Registry Identity

NPI1093357766
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJOHN ANDREW DICKERSON
Location Address609 SOUTH FAITH STREETPlattsburg, MO 64477-1507
Mailing AddressPo Box 187Plattsburg, MO 64477-1507 · (816) 592-1591
Sole ProprietorYes
Enumeration DateOctober 14, 2019
Last NPPES UpdateOctober 23, 2024
NPPES CertifiedOctober 21, 2024
NPI 1093357766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in MO · 2023039684 Licensed in MO · 2019038963
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.
609 SOUTH FAITH STREET, Plattsburg, MO 64477

Secondary Practice Location 1

Location 13500 Village Dr # Gl30Saint Joseph, MO 64506-4979 · Phone (816) 545-9203 · Fax (816) 279-3311

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 John Dickerson's NPI number?

The NPI number for John Dickerson is 1093357766. It was assigned to this individual provider in the NPPES registry on October 14, 2019.

Where is John Dickerson located?

John Dickerson practices at 609 South Faith Street, Plattsburg, MO 64477. The listed phone number is (816) 592-1591.

What is John Dickerson's specialty?

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

When was this NPI record last updated?

The NPPES record for John Dickerson was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.