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GAYLE LYNETTE DICKERSON LCSW
NPI 1205314861
Social Worker - Clinical in Oak Lawn, IL

Active since August 04, 2018Opted out of Medicare · through Mar 27, 2028
10735 S CICERO AVE STE 208, OAK LAWN, IL 60453(708) 424-0001(708) 424-1394 Get Directions Write a Review

NPPES record last updated: August 4, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gayle Lynette Dickerson Lcsw NPPES

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

GAYLE LYNETTE DICKERSON LCSW (NPI 1205314861) is an individual clinical provider in Oak Lawn, Illinois, licensed in Illinois (149.016776) and active in the NPI registry since August 2018. She has opted out of Medicare through March 27, 2028.

NPPES Registry Identity

NPI1205314861
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameGAYLE LYNETTE DICKERSONCredential: LCSW
Location Address10735 S CICERO AVE STE 208Oak Lawn, IL 60453-6214
Mailing Address5858 N Magnolia Ave # 2Chicago, IL 60660-3419 · (773) 710-6080
Phone(708) 424-0001
Fax(708) 424-1394
Sole ProprietorYes
Enumeration DateAugust 4, 2018
✔ NPI 1205314861 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 IL · 149.016776
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.
10735 S CICERO AVE STE 208, Oak Lawn, IL 60453
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Gayle Lynette Dickerson 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 March 27, 2024 through March 27, 2028.

Opt-Out Effective DateMarch 27, 2024
Opt-Out In Effect ThroughMarch 27, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

MAUREEN L MCCLELLAND LCPC
Counselor (Professional)
10735 S CICERO AVE STE 208
OAK LAWN, IL 60453
Cook County (708) 424-0001
DR. LINDSEY COOLEY PSYD
Psychologist (Clinical)
10735 S CICERO AVE STE 208
OAK LAWN, IL 60453
Cook County (708) 424-0001
MS. SARAH ANN KOLKMEYER LPC
Counselor (Professional)
10735 S CICERO AVE STE 208
OAK LAWN, IL 60453
Cook County (708) 424-0001

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 Gayle Dickerson's NPI number?

The NPI number for Gayle Dickerson is 1205314861. It was assigned to this individual provider in the NPPES registry on August 4, 2018.

Where is Gayle Dickerson located?

Gayle Dickerson practices at 10735 S Cicero Ave Ste 208, Oak Lawn, IL 60453. The listed phone number is (708) 424-0001.

What is Gayle Dickerson's specialty?

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

Is Gayle Dickerson enrolled in Medicare?

No. Gayle Dickerson has opted out of Medicare through March 27, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Gayle Dickerson was last updated on August 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.