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RAVEN ELIZABETH DICKERSON LCSW
NPI 1679176499
Social Worker - Clinical in Herndon, VA

Active since November 17, 2020
2162 ASTORIA CIR APT 403, HERNDON, VA 20170(940) 597-0308 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Raven Elizabeth Dickerson Lcsw NPPES

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

RAVEN ELIZABETH DICKERSON LCSW (NPI 1679176499) is an individual clinical provider in Herndon, Virginia, licensed in Virginia (0904012351) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1679176499
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameRAVEN ELIZABETH DICKERSONCredential: LCSW
Location Address2162 ASTORIA CIR APT 403Herndon, VA 20170-4070
Mailing Address2162 Astoria Cir Apt 403Herndon, VA 20170-4070 · (940) 597-0308
Phone(940) 597-0308
Sole ProprietorYes
Enumeration DateNovember 17, 2020
NPPES CertifiedNovember 17, 2020
✔ NPI 1679176499 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 VA · 0904012351
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.
2162 ASTORIA CIR APT 403, Herndon, VA 20170
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Other Providers at the Same Location NPPES

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

LEGACY HEALING & THERAPY SERVICES LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
2162 ASTORIA CIR APT 403
HERNDON, VA 20170
Fairfax County (571) 306-2286

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 Raven Dickerson's NPI number?

The NPI number for Raven Dickerson is 1679176499. It was assigned to this individual provider in the NPPES registry on November 17, 2020.

Where is Raven Dickerson located?

Raven Dickerson practices at 2162 Astoria Cir Apt 403, Herndon, VA 20170. The listed phone number is (940) 597-0308.

What is Raven Dickerson's specialty?

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

When was this NPI record last updated?

The NPPES record for Raven Dickerson was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.