MR. DERRICK T DICKER M.H.S.
NPI 1669737029
Counselor - Mental Health in Philadelphia, PA

Q: What is Derrick Dicker's NPI number?

The NPI number for Derrick Dicker is 1669737029. It was assigned to this individual provider in the NPPES registry on July 11, 2012.

Q: What is Derrick Dicker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Derrick Dicker was last updated on July 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 July 11, 2012

4803 WOODLAND AVE, PHILADELPHIA, PA 19143(215) 326-9491 Get Directions Write a Review

NPPES record last updated: July 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Derrick T Dicker M.h.s. NPPES

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

MR. DERRICK T DICKER M.H.S. (NPI 1669737029) is an individual mental health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (251S00000X) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1669737029

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. DERRICK T DICKERCredential: M.H.S.

Location Address4803 WOODLAND AVEPhiladelphia, PA 19143-4433

Mailing Address4803 Woodland AvePhiladelphia, PA 19143-4433 · (215) 326-9491

Phone(215) 326-9491

Sole ProprietorYes

Enumeration DateJuly 11, 2012

✔ NPI 1669737029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in PA · 251S00000X

4803 WOODLAND AVE, Philadelphia, PA 19143

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Other Providers at the Same Location NPPES 3

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

RASHEEDA TILLMAN

Registered Nurse (Psychiatric/Mental Health, Adult)

4803 WOODLAND AVE
PHILADELPHIA, PA 19143

Philadelphia County (215) 326-9491

CHRISTINE GRIFFIS

Behavior Analyst

4803 WOODLAND AVE
PHILADELPHIA, PA 19143

Philadelphia County (215) 326-9491

AMITY CARE

Community/Behavioral Health

4803 WOODLAND AVE
PHILADELPHIA, PA 19143

Philadelphia County (215) 326-9491

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 Derrick Dicker's NPI number?

The NPI number for Derrick Dicker is 1669737029. It was assigned to this individual provider in the NPPES registry on July 11, 2012.

Where is Derrick Dicker located?

Derrick Dicker practices at 4803 Woodland Ave, Philadelphia, PA 19143. The listed phone number is (215) 326-9491.

What is Derrick Dicker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Derrick Dicker was last updated on July 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.