TAHJA-RAE M DICKENSON
NPI 1386317683
Social Worker - Clinical in Germantown, MD

Q: What is Tahja-rae Dickenson's NPI number?

The NPI number for Tahja-rae Dickenson is 1386317683. It was assigned to this individual provider in the NPPES registry on August 1, 2021.

Q: What is Tahja-rae Dickenson's specialty?

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

Active since August 01, 2021PECOS Enrolled

12410 MILESTONE CENTER DR STE 600, GERMANTOWN, MD 20876(571) 457-9306 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2026, Jan 26, 2026 (2 updates tracked since 2026).

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About Tahja-rae M Dickenson NPPES

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

TAHJA-RAE M DICKENSON (NPI 1386317683) is an individual clinical provider in Germantown, Maryland, licensed in Maryland (29901) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1386317683

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameTAHJA-RAE M DICKENSON

Location Address12410 MILESTONE CENTER DR STE 600Germantown, MD 20876-7102

Mailing Address12410 Milestone Center Dr Ste 600Germantown, MD 20876-7102 · (571) 457-9306

Phone(571) 457-9306

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateAugust 1, 2021

Last NPPES UpdateJune 11, 20262 updates tracked since enumeration

NPPES CertifiedJune 11, 2026

✔ NPI 1386317683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in MD · 29901✔ Licensed in TX · 119359✔ Licensed in PA · CW027072✔ Licensed in VA · 0904019866

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.

12410 MILESTONE CENTER DR STE 600, Germantown, MD 20876

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tahja-rae M Dickenson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375010697

PECOS Enrollment IDI20260423002671

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20876 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $65.18 – $194.86

Typical copayment $0.00 (range $16.29 – $48.71)

Most-billed visit code NA

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

NINA CRUM

Behavior Technician