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MARK RM DICKMANN MSW, LCSW
NPI 1164620886
Social Worker - Clinical in Durango, CO

Active since July 03, 2007Opted out of Medicare · through Jul 1, 2027
2855 MAIN AVE, SUITE A-107, DURANGO, CO 81301(970) 259-5711 Get Directions Write a Review

NPPES record last updated: December 30, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark Rm Dickmann Msw, Lcsw NPPES

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

MARK RM DICKMANN MSW, LCSW (NPI 1164620886) is an individual clinical provider in Durango, Colorado, licensed in Colorado (1741) and active in the NPI registry since July 2007. He has opted out of Medicare through July 1, 2027.

NPPES Registry Identity

NPI1164620886
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMARK RM DICKMANNCredential: MSW, LCSW
Location Address2855 MAIN AVE, SUITE A-107Durango, CO 81301-5956
Mailing Address2855 Main Ave, Suite A-107Durango, CO 81301-5956 · (970) 259-5711
Phone(970) 259-5711
Sole ProprietorNo
Enumeration DateJuly 3, 2007
Last NPPES UpdateDecember 30, 2011
✔ NPI 1164620886 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 CO · 1741
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.
2855 MAIN AVE, Durango, CO 81301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mark Rm Dickmann Msw, Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2021 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2021
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

MOMENTUM COUNSELING AND CONSULTING LLC
Counselor (Professional)
2855 MAIN AVE
DURANGO, CO 81301
La Plata County (970) 829-8780
MARK DICKMANN, MSW, LCSW, LLC
Social Worker (Clinical)
2855 MAIN AVE, SUITE A-107
DURANGO, CO 81301
La Plata County (970) 259-5711
RUBY JO WALKER LCSW,EMDR CERT,CHT,C
Social Worker (Clinical)
2855 MAIN AVE, UNIT A107
DURANGO, CO 81301
La Plata County (970) 259-5711
DR. MATTHEW EVAN BURGESS O.D.
Optometrist
2855 MAIN AVE, STE A103
DURANGO, CO 81301
La Plata County (970) 382-8970
FOUR CORNERS MENTAL HEALTH, LLC
Psychologist (Clinical Child & Adolescent)
2855 MAIN AVE, SUITE A105
DURANGO, CO 81301
La Plata County (970) 382-6690
PEAK WELLNESS AND NUTRITION INC.
Clinic/Center
2855 MAIN AVE, STE. 105A
DURANGO, CO 81301
La Plata County (970) 259-1712
ENVISION DURANGO LLC
Optometrist
2855 MAIN AVE, STE A103
DURANGO, CO 81301
La Plata County (970) 382-8790
REGAN S THAW LCSW
Social Worker (Clinical)
2855 MAIN AVE, SUITE A105
DURANGO, CO 81301
La Plata County (970) 259-2337

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 Mark Dickmann's NPI number?

The NPI number for Mark Dickmann is 1164620886. It was assigned to this individual provider in the NPPES registry on July 3, 2007.

Where is Mark Dickmann located?

Mark Dickmann practices at 2855 Main Ave Suite A-107, Durango, CO 81301. The listed phone number is (970) 259-5711.

What is Mark Dickmann's specialty?

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

Is Mark Dickmann enrolled in Medicare?

No. Mark Dickmann has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Mark Dickmann accept?

Health plans from Providence Health Plan list Mark Dickmann 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 Mark Dickmann was last updated on December 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.