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MR. NATHAN DICKERSON JR. LCPC
NPI 1336790716
Counselor - Professional in Millersville, MD

Active since September 26, 2019PECOS EnrolledAccepts Medicare Assignment
8258 VETERANS HWY STE 13, MILLERSVILLE, MD 21108(410) 768-6088(410) 768-6444 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2025, Oct 14, 2022, Sep 26, 2019 (3 updates tracked since 2019).

About Mr. Nathan Dickerson Jr. Lcpc NPPES

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

MR. NATHAN DICKERSON JR. LCPC (NPI 1336790716) is an individual professional provider in Millersville, Maryland, licensed in Maryland (LC13079) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chevy Chase, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1336790716
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. NATHAN DICKERSON JR.Credential: LCPC
Location Address8258 VETERANS HWY STE 13Millersville, MD 21108-1564
Mailing AddressPo Box 675366Detroit, MI 48267-5366 · (410) 757-2077
Phone(410) 768-6088
Fax(410) 768-6444
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 26, 2019
Last NPPES UpdateJune 16, 20253 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
✔ NPI 1336790716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MD · LC13079
8258 VETERANS HWY STE 13, Millersville, MD 21108
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Secondary Practice Location 1

Location 15550 Friendship Blvd Ste 590Chevy Chase, MD 20815-7310 · Phone (410) 757-2077

Other Identifiers 1

Medicaid38-3876389MD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Nathan Dickerson Jr. Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779936430
PECOS Enrollment IDI20240129004261, I20240806000007
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.

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.

LUVENIA M SIMMONS LCPC
Counselor (Professional)
8258 VETERANS HWY STE 13
MILLERSVILLE, MD 21108
Anne Arundel County (410) 768-6088
ERIN K OCZKOWSKI LCSW-C
Social Worker (Clinical)
8258 VETERANS HWY STE 13
MILLERSVILLE, MD 21108
Anne Arundel County (410) 768-6088
DYONNA A NELSON LCPC
Counselor (Professional)
8258 VETERANS HWY STE 13
MILLERSVILLE, MD 21108
Anne Arundel County (410) 757-2077
BRENDA ROSENCRANTZ LCSW-C
Social Worker (Clinical)
8258 VETERANS HWY STE 13
MILLERSVILLE, MD 21108
Anne Arundel County (410) 768-6088
MRS. GISELE C.W. PARKER M.ED, NCC, LCPC
Counselor (Mental Health)
8258 VETERANS HWY STE 13
MILLERSVILLE, MD 21108
Anne Arundel County (410) 768-6088
MARKEITA MATTHEWS LCSW-C
Social Worker (Clinical)
8258 VETERANS HWY STE 13
MILLERSVILLE, MD 21108
Anne Arundel County (410) 768-6088
SHARONDA SAUNDERS LMSW
Social Worker
8258 VETERANS HWY STE 13
MILLERSVILLE, MD 21108
Anne Arundel County (410) 768-6088
CLAUDINE STEBLER MOOTY LCSW-C
Social Worker (Clinical)
8258 VETERANS HWY STE 13
MILLERSVILLE, MD 21108
Anne Arundel County (410) 768-6088

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 Nathan Dickerson's NPI number?

The NPI number for Nathan Dickerson is 1336790716. It was assigned to this individual provider in the NPPES registry on September 26, 2019.

Where is Nathan Dickerson located?

Nathan Dickerson practices at 8258 Veterans Hwy Ste 13, Millersville, MD 21108. The listed phone number is (410) 768-6088.

What is Nathan Dickerson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Nathan Dickerson enrolled in Medicare?

Yes. Nathan Dickerson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Nathan Dickerson was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.