KATILA A DICKERSON
NPI 1205671906
Social Worker - Clinical in Detroit, MI

Active since June 26, 2024
2925 RUSSELL ST, DETROIT, MI 48207(313) 659-8573 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Katila A Dickerson NPPES

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

KATILA A DICKERSON (NPI 1205671906) is an individual clinical provider in Detroit, Michigan, licensed in Michigan (6851118435) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1205671906
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATILA A DICKERSON
Location Address2925 RUSSELL STDetroit, MI 48207-4825
Mailing Address2925 Russell StDetroit, MI 48207-4825 · (313) 659-8573
Sole ProprietorYes
Enumeration DateJune 26, 2024
NPPES CertifiedJune 26, 2024
NPI 1205671906 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 MI · 6851118435
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.
2925 RUSSELL ST, Detroit, MI 48207

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.

Registered Nurse
2925 RUSSELL ST
DETROIT, MI 48207
Social Worker (Clinical)
2925 RUSSELL ST
DETROIT, MI 48207
Case Manager/Care Coordinator
2925 RUSSELL ST
DETROIT, MI 48207
Social Worker (Clinical)
2925 RUSSELL ST
DETROIT, MI 48207
Recreation Therapist
2925 RUSSELL ST
DETROIT, MI 48207
Social Worker
2925 RUSSELL ST
DETROIT, MI 48207
Case Manager/Care Coordinator
2925 RUSSELL ST
DETROIT, MI 48207
Social Worker (Clinical)
2925 RUSSELL ST
DETROIT, MI 48207

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 Katila Dickerson's NPI number?

The NPI number for Katila Dickerson is 1205671906. It was assigned to this individual provider in the NPPES registry on June 26, 2024.

Where is Katila Dickerson located?

Katila Dickerson practices at 2925 Russell St, Detroit, MI 48207. The listed phone number is (313) 659-8573.

What is Katila 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 Katila Dickerson was last updated on June 26, 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.