Individual provider · Type 1 NPI

Phyllis L. Dickerson, LCSW

Clinical Social Worker · Gulfport, MS

NPI number 1114204807 Active

Practice location

8990 Lorraine Rd
Gulfport, MS 39503-4176

Call (228) 331-3310 Map

Fax (228) 284-1608

Other practice locations

  • 301 Fisher St, Keesler Afb, MS 39534-2508 · (228) 376-3395

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X2253C (AL)
Clinical Social Worker Primary 1041C0700XC (MS)

Clinical Social Worker: 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 interpers…

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About NPI 1114204807

Phyllis L. Dickerson, LCSW's National Provider Identifier is 1114204807, issued on Nov 8, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gulfport, MS. The record was last updated on Jul 21, 2022.