Individual provider · Type 1 NPI

Tahja-Rae M. Dickenson

Clinical Social Worker · Germantown, MD

NPI number 1386317683 Active

Practice location

12410 Milestone Center Dr Ste 600
Germantown, MD 20876-7102

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X119359 (TX)
Clinical Social Worker Primary 1041C0700X29901 (MD)
Clinical Social Worker 1041C0700XCW027072 (PA)
Clinical Social Worker 1041C0700X0904019866 (VA)

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 1386317683

Tahja-Rae M. Dickenson's National Provider Identifier is 1386317683, issued on Aug 1, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Germantown, MD. The record was last updated on Jun 11, 2026.