IndividualActive
Dale Dicker, MED LCSW
NPI 1053475111 · Professional Counselor · St Louis, MO
Provider details
- NPI number
- 1053475111
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- MED LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- 000956 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11715 Administration Dr
Ste 101
St Louis, MO 63146
Phone: (314) 993-8123
Fax: (314) 993-8123
Street-level locationGet directions
Mailing address
11715 Administration Dr
St Louis, MO 63146
Registry dates
- Enumerated
- 2006-12-21
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.