CHARLES DICKERMAN LMFT, CADC III, SUDP
NPI 1548433261
Marriage & Family Therapist in Portland, OR
About Charles Dickerman Lmft, Cadc Iii, Sudp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLES DICKERMAN LMFT, CADC III, SUDP (NPI 1548433261) is an individual marriage & family therapist in Portland, Oregon, licensed in Oregon (T0866) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Charles Dickerman Lmft, Cadc Iii, Sudp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
PORTLAND, OR 97233
PORTLAND, OR 97233
PORTLAND, OR 97233
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 Charles Dickerman's NPI number?
The NPI number for Charles Dickerman is 1548433261. It was assigned to this individual provider in the NPPES registry on April 3, 2008.
Where is Charles Dickerman located?
Charles Dickerman practices at 19500 SE Stark St, Portland, OR 97233. The listed phone number is (503) 249-3434.
What is Charles Dickerman's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Charles Dickerman enrolled in Medicare?
Yes. Charles Dickerman is registered in the Medicare PECOS enrollment system.
What insurance does Charles Dickerman accept?
Health plans from Kaiser Permanente list Charles Dickerman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Charles Dickerman was last updated on December 27, 2023. 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.
# Charles Dickerman, LMFT, CADC III, SUDP · NPI 1548433261
Marriage & Family Therapist provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since April 3, 2008.
## Identity
- **NPI:** 1548433261 (Entity type: Individual)
- **Enumerated:** April 3, 2008
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** T0866 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 19500 SE STARK ST, Portland, OR 97233-5757
- **Phone:** (503) 249-3434
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** December 27, 2023
- **Other identifiers:** Medicaid 164936 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1548433261) · Data from the CMS NPPES public registry.