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JESSICA L DICKENMAN CPRS
NPI 1114773009
Peer Specialist in West Long Branch, NJ

Active since April 30, 2024
185 ROUTE 36 BLDG E, WEST LONG BRANCH, NJ 07764(732) 571-2190 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jessica L Dickenman Cprs NPPES

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

JESSICA L DICKENMAN CPRS (NPI 1114773009) is an individual peer specialist in West Long Branch, New Jersey, licensed in New Jersey (50691) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1114773009
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameJESSICA L DICKENMANCredential: CPRS
Location Address185 ROUTE 36 BLDG EWest Long Branch, NJ 07764-1341
Mailing AddressPo Box 2036Lakewood, NJ 08701-8036 · (732) 367-4700
Phone(732) 571-2190
Sole ProprietorNo
Enumeration DateApril 30, 2024
NPPES CertifiedApril 30, 2024
✔ NPI 1114773009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in NJ · 50691
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.
185 ROUTE 36 BLDG E, West Long Branch, NJ 07764
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Other Identifiers 1

Medicaid0029807NJ

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 Jessica Dickenman's NPI number?

The NPI number for Jessica Dickenman is 1114773009. It was assigned to this individual provider in the NPPES registry on April 30, 2024.

Where is Jessica Dickenman located?

Jessica Dickenman practices at 185 Route 36 Bldg E, West Long Branch, NJ 07764. The listed phone number is (732) 571-2190.

What is Jessica Dickenman'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 Jessica Dickenman was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.