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ALEX DICKINSON LMSW
NPI 1215488382
Social Worker in Gouverneur, NY

Active since October 24, 2016PECOS Enrolled
28 WILLIAM ST, GOUVERNEUR, NY 13642(315) 287-2811 Get Directions Write a Review

NPPES record last updated: May 13, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 13, 2022, Oct 24, 2016 (2 updates tracked since 2016).

About Alex Dickinson Lmsw NPPES

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

ALEX DICKINSON LMSW (NPI 1215488382) is an individual social worker in Gouverneur, New York, licensed in New York (098637-1) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215488382
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameALEX DICKINSONCredential: LMSW
Location Address28 WILLIAM STGouverneur, NY 13642-1405
Mailing Address714 Leray StWatertown, NY 13601-1471 · (315) 486-4328
Phone(315) 287-2811
Sole ProprietorNo
Enumeration DateOctober 24, 2016
Last NPPES UpdateMay 13, 20222 updates tracked since enumeration
NPPES CertifiedMay 13, 2022
✔ NPI 1215488382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NY · 098637-1
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
28 WILLIAM ST, Gouverneur, NY 13642
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alex Dickinson Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Alex Dickinson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
1,307 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, New York enrollment
  • 867 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 15

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

MS. AMY JO THORBAHN RN,BSN
Registered Nurse (Community Health)
28 WILLIAM ST
GOUVERNEUR, NY 13642
St. Lawrence County (315) 287-2811
DENISE MARIE HERHEIM
Social Worker (Clinical)
28 WILLIAM ST
GOUVERNEUR, NY 13642
St. Lawrence County (315) 287-2811
DR. THUC DUY PHAN M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
28 WILLIAM ST
GOUVERNEUR, NY 13642
St. Lawrence County (315) 287-2811
MRS. DARA LEE WURZBURG LMSW
Social Worker
28 WILLIAM ST
GOUVERNEUR, NY 13642
St. Lawrence County (315) 287-2811
CARRIE LYNN ISEREAU LCSW
Social Worker
28 WILLIAM ST
GOUVERNEUR, NY 13642
St. Lawrence County (315) 287-2811
MRS. SHARON MACDONALD LPN
Licensed Practical Nurse
28 WILLIAM ST
GOUVERNEUR, NY 13642
St. Lawrence County (315) 287-2811
MARY BRONDOU DOUSHARM LCSW
Social Worker (Clinical)
28 WILLIAM ST
GOUVERNEUR, NY 13642
St. Lawrence County (315) 287-2811
CHRISTINA HARMAN
Registered Nurse (Community Health)
28 WILLIAM ST
GOUVERNEUR, NY 13642
St. Lawrence County (315) 287-2811

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 Alex Dickinson's NPI number?

The NPI number for Alex Dickinson is 1215488382. It was assigned to this individual provider in the NPPES registry on October 24, 2016.

Where is Alex Dickinson located?

Alex Dickinson practices at 28 William St, Gouverneur, NY 13642. The listed phone number is (315) 287-2811.

What is Alex Dickinson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Alex Dickinson enrolled in Medicare?

Yes. Alex Dickinson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alex Dickinson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alex Dickinson reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alex Dickinson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alex Dickinson was last updated on May 13, 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.