PHYLLIS L DICKERSON LCSW
NPI 1750802534
Social Worker - Clinical in Gulfport, MS

Active since June 30, 2017
8990 LORRAINE RD, GULFPORT, MS 39503(228) 331-3310 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Aug 13, 2017, Jun 30, 2017 (3 updates tracked since 2017).

About Phyllis L Dickerson Lcsw NPPES

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

PHYLLIS L DICKERSON LCSW (NPI 1750802534) is a healthcare organization registered as a clinical in Gulfport, Mississippi and active in the NPI registry since June 2017. The organization lists Phyllis L Dickerson, Owner, as its authorized official.

NPPES Registry Identity

NPI1750802534
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePHYLLIS L DICKERSON LCSW
Location Address8990 LORRAINE RDGulfport, MS 39503-4176
Mailing Address8990 Lorraine RdGulfport, MS 39503-4176 · (228) 331-3310
Organization SubpartNo
Authorized OfficialPhyllis L DickersonOwner · (228) 331-3310
Enumeration DateJune 30, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1750802534 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 MS · C5893
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.
8990 LORRAINE RD, Gulfport, MS 39503

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Psychiatric/Mental Health)
8990 LORRAINE RD
GULFPORT, MS 39503
Social Worker (Clinical)
8990 LORRAINE RD
GULFPORT, MS 39503
Social Worker (Clinical)
8990 LORRAINE RD
GULFPORT, MS 39503
Social Worker (Clinical)
8990 LORRAINE RD
GULFPORT, MS 39503
Psychologist (Clinical)
8990 LORRAINE RD
GULFPORT, MS 39503
Counselor (Mental Health)
8990 LORRAINE RD
GULFPORT, MS 39503
Social Worker (Clinical)
8990 LORRAINE RD
GULFPORT, MS 39503
Clinic/Center (Adolescent and Children Mental Health)
8990 LORRAINE RD
GULFPORT, MS 39503

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 Phyllis L Dickerson Lcsw's NPI number?

The NPI number for Phyllis L Dickerson Lcsw is 1750802534. It was assigned to this organization in the NPPES registry on June 30, 2017.

Where is Phyllis L Dickerson Lcsw located?

Phyllis L Dickerson Lcsw is located at 8990 Lorraine Rd, Gulfport, MS 39503. The listed phone number is (228) 331-3310.

What is Phyllis L Dickerson Lcsw'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 Phyllis L Dickerson Lcsw was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.