AMY MARIE DICKERSON ATR
NPI 1578074423
Art Therapist in Saint Paul, MN

Q: What is Amy Dickerson's NPI number?

The NPI number for Amy Dickerson is 1578074423. It was assigned to this individual provider in the NPPES registry on October 18, 2017.

Q: What is Amy Dickerson's specialty?

The primary specialty registered for this NPI is Art Therapist with taxonomy code 221700000X.

Q: When was this NPI record last updated?

The NPPES record for Amy Dickerson was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since October 18, 2017

1821 UNIVERSITY AVE W STE N385, SAINT PAUL, MN 55104(612) 326-7579(612) 326-7579 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Oct 18, 2017 (2 updates tracked since 2017).

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About Amy Marie Dickerson Atr NPPES

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

AMY MARIE DICKERSON ATR (NPI 1578074423) is an individual art therapist in Saint Paul, Minnesota, licensed in Wisconsin (12-36) and active in the NPI registry since October 2017. She maintains a secondary practice location in Saint Paul.

NPPES Registry Identity

NPI1578074423

Entity TypeIndividualFemale

Primary Taxonomy221700000X

Provider Legal NameAMY MARIE DICKERSONCredential: ATR

Location Address1821 UNIVERSITY AVE W STE N385Saint Paul, MN 55104-2872

Mailing Address506 Prairie LnHudson, WI 54016-7040 · (612) 805-0882

Phone(612) 326-7579

Fax(612) 326-7579

Sole ProprietorYes

Enumeration DateOctober 18, 2017

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1578074423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyArt TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code221700000X

License✔ Licensed in WI · 12-36

Definition

(1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change.

1821 UNIVERSITY AVE W STE N385, Saint Paul, MN 55104

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Secondary Practice Location 1

Location 11706 University Ave WSaint Paul, MN 55104-3614 · Phone (651) 645-3661 · Fax (651) 645-3661

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

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

MARY K BELL

Counselor (Addiction (Substance Use Disorder))