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MRS. DENISE MICHELLE DICKERSON MS, LCADC
NPI 1689878936
Counselor - Addiction (Substance Use Disorder) in Prince Frederick, MD

Active since June 12, 2007PECOS EnrolledAccepts Medicare Assignment
975 SOLOMONS ISLAND RD, N, PRINCE FREDERICK, MD 20678(410) 535-5400(410) 535-0736 Get Directions Write a Review

NPPES record last updated: November 7, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Denise Michelle Dickerson Ms, Lcadc NPPES

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

MRS. DENISE MICHELLE DICKERSON MS, LCADC (NPI 1689878936) is an individual addiction (substance use disorder) provider in Prince Frederick, Maryland, licensed in Maryland (LCA2092) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1689878936
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. DENISE MICHELLE DICKERSONCredential: MS, LCADC
Location Address975 SOLOMONS ISLAND RD, NPrince Frederick, MD 20678-0980
Mailing AddressPo Box 980Prince Frederick, MD 20678-0980 · (410) 535-5400 · Fax (410) 535-0736
Phone(410) 535-5400
Fax(410) 535-0736
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 12, 2007
Last NPPES UpdateNovember 7, 2014
✔ NPI 1689878936 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 MD · LCA2092
975 SOLOMONS ISLAND RD, N, Prince Frederick, MD 20678
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Denise Michelle Dickerson Ms, Lcadc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901249747
PECOS Enrollment IDI20240208001136
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Denise Dickerson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Calvert County Health Department
Same address
Adult Mental Health
975 SOLOMONS ISLAND RD N, SUITE 119
Prince Frederick, MD 20678
  • Reassigned Medicare billing, Maryland enrollment
  • 25 clinicians in this Medicare group
NPI 1609137918 (410) 535-5400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Denise Dickerson's NPI number?

The NPI number for Denise Dickerson is 1689878936. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Where is Denise Dickerson located?

Denise Dickerson practices at 975 Solomons Island Rd, N, Prince Frederick, MD 20678. The listed phone number is (410) 535-5400.

What is Denise Dickerson's specialty?

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

Is Denise Dickerson enrolled in Medicare?

Yes. Denise Dickerson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Denise Dickerson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denise Dickerson reassigns Medicare benefits to Calvert County Health Department (Prince Frederick, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Denise Dickerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Denise Dickerson was last updated on November 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.