PHYLLIS L DICKERSON LCSW
NPI 1114204807
Social Worker - Clinical in Gulfport, MS

Q: What is Phyllis Dickerson's NPI number?

The NPI number for Phyllis Dickerson is 1114204807. It was assigned to this individual provider in the NPPES registry on November 8, 2011.

Q: What is Phyllis Dickerson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Phyllis Dickerson was last updated on July 21, 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.

Active since November 08, 2011PECOS EnrolledAccepts Medicare Assignment

8990 LORRAINE RD, GULFPORT, MS 39503(228) 331-3310(228) 284-1608 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 13, 2017 (3 updates tracked since 2017).

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About Phyllis L Dickerson Lcsw NPPES

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

PHYLLIS L DICKERSON LCSW (NPI 1114204807) is an individual clinical provider in Gulfport, Mississippi, licensed in Mississippi (C) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Keesler Afb, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1114204807

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NamePHYLLIS L DICKERSONCredential: LCSW

Location Address8990 LORRAINE RDGulfport, MS 39503-4176

Mailing Address8990 Lorraine RdGulfport, MS 39503-4176 · (228) 331-3310 · Fax (228) 284-1608

Phone(228) 331-3310

Fax(228) 284-1608

Sole ProprietorNo

Medical School CMSOtherGraduated 1980

Enumeration DateNovember 8, 2011

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1114204807 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 MS · C✔ Licensed in AL · 2253C

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.

8990 LORRAINE RD, Gulfport, MS 39503

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Secondary Practice Location 1

Location 1301 Fisher StKeesler AFB, MS 39534-2508 · Phone (228) 376-3395 · Fax (228) 376-0103

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Plan, Inc., UnitedHealthcare.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

Phyllis L 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 ID446504724

PECOS Enrollment IDI20181127002689

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

158 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39503 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 $51.65 – $159.18

Typical copayment $0.00 (range $12.91 – $39.79)

Most-billed visit code NA

Established Patient

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

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 20

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

BELINDA HARRELL HOLDEN PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)