TABATHA DICKERSON
NPI 1679073993
Counselor in Lakewood, OH

Active since February 13, 2018
1384 W 117TH ST, LAKEWOOD, OH 44107(216) 221-7588 Get Directions Write a Review

NPPES record last updated: February 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tabatha Dickerson NPPES

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

TABATHA DICKERSON (NPI 1679073993) is an individual counselor in Lakewood, Ohio and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1679073993
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameTABATHA DICKERSON
Location Address1384 W 117TH STLakewood, OH 44107-3011
Mailing Address1384 W 117th StLakewood, OH 44107-3011 · (216) 221-7588
Sole ProprietorNo
Enumeration DateFebruary 13, 2018
NPI 1679073993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1384 W 117TH ST, Lakewood, OH 44107

Other Identifiers 1

Medicaid171M00000XOH

Other Providers at the Same Location NPPES 8

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

Social Worker
1384 W 117TH ST
LAKEWOOD, OH 44107
Case Manager/Care Coordinator
1384 W 117TH ST
LAKEWOOD, OH 44107
Social Worker
1384 W 117TH ST
LAKEWOOD, OH 44107
Social Worker
1384 W 117TH ST
LAKEWOOD, OH 44107
Case Manager/Care Coordinator
1384 W 117TH ST
LAKEWOOD, OH 44107
Counselor (Professional)
1384 W 117TH ST
LAKEWOOD, OH 44107
Case Manager/Care Coordinator
1384 W 117TH ST
LAKEWOOD, OH 44107
Counselor (Professional)
1384 W 117TH ST
LAKEWOOD, OH 44107

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 Tabatha Dickerson's NPI number?

The NPI number for Tabatha Dickerson is 1679073993. It was assigned to this individual provider in the NPPES registry on February 13, 2018.

Where is Tabatha Dickerson located?

Tabatha Dickerson practices at 1384 W 117th St, Lakewood, OH 44107. The listed phone number is (216) 221-7588.

What is Tabatha Dickerson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Tabatha Dickerson was last updated on February 13, 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.