DOMONIQUE DICKERSON
NPI 1881166007
Case Manager/Care Coordinator in Houma, LA

Active since December 28, 2018
1340 W TUNNEL BLVD STE 230, HOUMA, LA 70360(985) 293-7322(985) 231-1377 Get Directions Write a Review

NPPES record last updated: April 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 3, 2020, Dec 28, 2018 (2 updates tracked since 2018).

About Domonique Dickerson NPPES

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

DOMONIQUE DICKERSON (NPI 1881166007) is an individual case manager/care coordinator provider in Houma, Louisiana and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1881166007
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameDOMONIQUE DICKERSON
Location Address1340 W TUNNEL BLVD STE 230Houma, LA 70360-2811
Mailing Address1418 Tiger DrThibodaux, LA 70301-4337 · (985) 449-4055 · Fax (985) 449-4178
Fax(985) 231-1377
Sole ProprietorYes
Enumeration DateDecember 28, 2018
Last NPPES UpdateApril 3, 20202 updates tracked since enumeration
NPPES CertifiedApril 3, 2020
NPI 1881166007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1340 W TUNNEL BLVD STE 230, Houma, LA 70360

Other Identifiers 1

Medicaid2203783561LA

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.

Social Worker
1340 W TUNNEL BLVD STE 230
HOUMA, LA 70360
Community/Behavioral Health
1340 W TUNNEL BLVD STE 230
HOUMA, LA 70360
Counselor (Mental Health)
1340 W TUNNEL BLVD STE 230
HOUMA, LA 70360
Case Manager/Care Coordinator
1340 W TUNNEL BLVD STE 230
HOUMA, LA 70360
Counselor (Mental Health)
1340 W TUNNEL BLVD STE 230
HOUMA, LA 70360
Counselor (Mental Health)
1340 W TUNNEL BLVD STE 230
HOUMA, LA 70360
Counselor (Mental Health)
1340 W TUNNEL BLVD STE 230
HOUMA, LA 70360
Counselor (Mental Health)
1340 W TUNNEL BLVD STE 230
HOUMA, LA 70360

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 Domonique Dickerson's NPI number?

The NPI number for Domonique Dickerson is 1881166007. It was assigned to this individual provider in the NPPES registry on December 28, 2018.

Where is Domonique Dickerson located?

Domonique Dickerson practices at 1340 W Tunnel Blvd Ste 230, Houma, LA 70360. The listed phone number is (985) 293-7322.

What is Domonique Dickerson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Domonique Dickerson was last updated on April 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.