Dale Dicker is a Clinical in St Louis, Missouri. Dale Dicker practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dale Dicker is 1053475111. The last update date is 2007-07-08.
Dale Dicker's current location address is 11715 Administration Dr, St Louis, Missouri. You can contact this provider via phone number 3149938123 and fax number 3149938123. The mailing address for Dale Dicker is 11715 Administration Dr, St Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Name | Dale Dicker |
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Address | 11715 Administration Dr, St Louis, Missouri |
Phone Number | 3149938123 |
Fax Number | 3149938123 |
Sole Proprietor | N |
Credentials | MED LCSW |
NPI Number Detail
NPI Number | 1053475111 |
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Provider Enumeration Date | 2006-12-21 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 11715 Administration Dr |
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City | St Louis |
State | Missouri (MO) |
Post Code | 63146 |
Phone Number | 3149938123 |
Fax Number | 3149938123 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 2320 |
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, certif |
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What is the unique 10-digit identifier code issued to Dale Dicker by the Centers for Medicare & Medicaid Services?
The Dale Dicker has been assigned the NPI (National Provider Identifier) 1053475111 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Dale Dicker is geographically located?
The Dale Dicker is physically situated at the following location: 11715 Administration Dr, St Louis, MO, 63146.
What is Dale Dicker's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Dale Dicker is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Dale Dicker receive its 1053475111 assignment from the Centers for Medicare & Medicaid Services?
The Dale Dicker was assigned its 1053475111 by the Centers for Medicare & Medicaid Services on 2006-12-21.
As of what date were the details related to Dale Dicker most recently updated or revised?
The information pertaining to Dale Dicker, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.