SCOTT MICHAEL DICKINSON SUDP
NPI 1679034748
Counselor - Addiction (Substance Use Disorder) in Shelton, WA

Active since March 29, 2019
506 W FRANKLIN ST, SHELTON, WA 98584(360) 427-5232(360) 427-5006 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Scott Michael Dickinson Sudp NPPES

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

SCOTT MICHAEL DICKINSON SUDP (NPI 1679034748) is an individual addiction (substance use disorder) provider in Shelton, Washington, licensed in Washington (CP00004514) and active in the NPI registry since March 2019. He maintains a secondary practice location in Chehalis.

NPPES Registry Identity

NPI1679034748
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameSCOTT MICHAEL DICKINSONCredential: SUDP
Location Address506 W FRANKLIN STShelton, WA 98584-3517
Mailing AddressPo Box 59Chehalis, WA 98532-0059 · (360) 463-0927 · Fax (360) 740-1877
Fax(360) 427-5006
Sole ProprietorNo
Enumeration DateMarch 29, 2019
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedOctober 24, 2025
NPI 1679034748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WA · CP00004514
506 W FRANKLIN ST, Shelton, WA 98584

Secondary Practice Location 1

Location 11956 NE Kresky AveChehalis, WA 98532-2307 · Phone (360) 740-4380

Other Identifiers 1

Medicaid2125353WA

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.

Counselor (Mental Health)
506 W FRANKLIN ST
SHELTON, WA 98584
Rehabilitation, Substance Use Disorder Unit
506 W FRANKLIN ST
SHELTON, WA 98584
Clinic/Center (Rehabilitation, Substance Use Disorder)
506 W FRANKLIN ST
SHELTON, WA 98584
Counselor
506 W FRANKLIN ST
SHELTON, WA 98584
Peer Specialist
506 W FRANKLIN ST
SHELTON, WA 98584
Counselor
506 W FRANKLIN ST
SHELTON, WA 98584
Counselor (Addiction (Substance Use Disorder))
506 W FRANKLIN ST
SHELTON, WA 98584
Counselor
506 W FRANKLIN ST
SHELTON, WA 98584

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 Scott Dickinson's NPI number?

The NPI number for Scott Dickinson is 1679034748. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Where is Scott Dickinson located?

Scott Dickinson practices at 506 W Franklin St, Shelton, WA 98584. The listed phone number is (360) 427-5232.

What is Scott Dickinson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Scott Dickinson was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.