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GREGORY DICKERSON LCSW
NPI 1568887339
Social Worker - Clinical in Boise, ID

Active since March 03, 2014PECOS EnrolledAccepts Medicare Assignment
4477 W EMERALD ST, SUITE C100, BOISE, ID 83706(208) 321-0160(208) 321-0221 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Gregory Dickerson Lcsw NPPES

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

GREGORY DICKERSON LCSW (NPI 1568887339) is an individual clinical provider in Boise, Idaho, licensed in Idaho (LCSW-42076) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1568887339
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameGREGORY DICKERSONCredential: LCSW
Location Address4477 W EMERALD ST, SUITE C100Boise, ID 83706-2000
Mailing Address4477 W Emerald St, Suite C100Boise, ID 83706-2000 · (208) 321-0160 · Fax (208) 321-0221
Phone(208) 321-0160
Fax(208) 321-0221
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateMarch 3, 2014
Last NPPES UpdateApril 14, 2022
NPPES CertifiedApril 14, 2022
✔ NPI 1568887339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in ID · LCSW-42076
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.
4477 W EMERALD ST, Boise, ID 83706
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gregory Dickerson Lcsw 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 ID2062667611
PECOS Enrollment IDI20220505001927
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 Gregory Dickerson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Benewah Medical Center
260 mi
Federally Qualified Health Center (FQHC)
427 N 12TH ST
Plummer, ID 83851
  • Reassigned Medicare billing, Idaho enrollment
  • 27 clinicians in this Medicare group
NPI 1336135136 (208) 686-1931

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83706 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 $52.44 – $160.17
Typical copayment $0.00 (range $13.11 – $40.04)
Most-billed visit code NA
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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 12

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

BECKY JO BAILEY LCSW
Social Worker (Clinical)
4477 W EMERALD ST
BOISE, ID 83706
Ada County (208) 321-0160
MRS. SHANNON MARIE KESSLER LMSW
Social Worker
4477 W EMERALD ST, SUITE C-100
BOISE, ID 83706
Ada County (208) 321-0160
RICK BOYES LPC
Counselor (Mental Health)
4477 W EMERALD ST, SUITE C-110
BOISE, ID 83706
Ada County (208) 344-3070
HUMAN SUPPORTS OF IDAHO, INC.
Community/Behavioral Health
4477 W EMERALD ST, STE C-100
BOISE, ID 83706
Ada County (208) 321-0160
KEVIN GARDNER
Social Worker
4477 W EMERALD ST, SUITE C100
BOISE, ID 83706
Ada County (208) 454-8389
MR. MICHAEL CHIPPOLLA LCSW ACADC
Social Worker (Clinical)
4477 W EMERALD ST
BOISE, ID 83706
Ada County (208) 713-5250
SHEILA CHAPDELAINE LCSW
Social Worker (Clinical)
4477 W EMERALD ST, C-100
BOISE, ID 83706
Ada County (208) 321-0160
MR. BRIAN PATRICK KNIGHT LCSW
Social Worker (Clinical)
4477 W EMERALD ST, SUITE C-100
BOISE, ID 83706
Ada County (208) 376-9831

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 Gregory Dickerson's NPI number?

The NPI number for Gregory Dickerson is 1568887339. It was assigned to this individual provider in the NPPES registry on March 3, 2014.

Where is Gregory Dickerson located?

Gregory Dickerson practices at 4477 W Emerald St Suite C100, Boise, ID 83706. The listed phone number is (208) 321-0160.

What is Gregory Dickerson's specialty?

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

Is Gregory Dickerson enrolled in Medicare?

Yes. Gregory 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.

Which organization bills Medicare for Gregory Dickerson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Dickerson reassigns Medicare benefits to Benewah Medical Center (Plummer, ID). 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 Gregory Dickerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gregory Dickerson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Select Health list Gregory Dickerson 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 Gregory Dickerson was last updated on April 14, 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.