MICHELLE DICKERSON
NPI 1407562788
Counselor - Professional in Fairfax, VA

Active since January 30, 2023
10513 JUDICIAL DR STE 301, FAIRFAX, VA 22030(703) 966-5173 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michelle Dickerson NPPES

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

MICHELLE DICKERSON (NPI 1407562788) is an individual professional provider in Fairfax, Virginia and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1407562788
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMICHELLE DICKERSON
Location Address10513 JUDICIAL DR STE 301Fairfax, VA 22030-7528
Mailing Address10895 Poyntell CirSan Diego, CA 92131-3312
Sole ProprietorNo
Enumeration DateJanuary 30, 2023
NPPES CertifiedJanuary 30, 2023
NPI 1407562788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
10513 JUDICIAL DR STE 301, Fairfax, VA 22030

Other Providers at the Same Location NPPES 7

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

Social Worker (Clinical)
10513 JUDICIAL DR STE 301
FAIRFAX, VA 22030
Social Worker (Clinical)
10513 JUDICIAL DR STE 301
FAIRFAX, VA 22030
Psychologist (Clinical)
10513 JUDICIAL DR STE 301
FAIRFAX, VA 22030
Counselor
10513 JUDICIAL DR STE 301
FAIRFAX, VA 22030
Counselor
10513 JUDICIAL DR STE 301
FAIRFAX, VA 22030
Counselor (Professional)
10513 JUDICIAL DR STE 301
FAIRFAX, VA 22030
Social Worker (Clinical)
10513 JUDICIAL DR STE 301
FAIRFAX, VA 22030

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 Michelle Dickerson's NPI number?

The NPI number for Michelle Dickerson is 1407562788. It was assigned to this individual provider in the NPPES registry on January 30, 2023.

Where is Michelle Dickerson located?

Michelle Dickerson practices at 10513 Judicial Dr Ste 301, Fairfax, VA 22030. The listed phone number is (703) 966-5173.

What is Michelle Dickerson's specialty?

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

When was this NPI record last updated?

The NPPES record for Michelle Dickerson was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.