Phyllis L Dickerson Lcsw
NPI 1750802534 · Clinical Social Worker · Gulfport, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Phyllis L Dickerson Lcsw is a Clinical Social Worker organization in Gulfport, MS (NPI 1750802534).
Provider details
- NPI number
- 1750802534
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Phyllis Dickerson, Owner(228) 331-3310
- License
- C5893 (MS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
Mailing address
Registry dates
- Enumerated
- 2017-06-30
- Last updated
- 2022-07-21
Frequently asked questions
- What is Phyllis L Dickerson Lcsw's NPI number?
- Phyllis L Dickerson Lcsw's National Provider Identifier (NPI) is 1750802534, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phyllis L Dickerson Lcsw?
- Phyllis L Dickerson Lcsw is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Phyllis L Dickerson Lcsw located?
- Phyllis L Dickerson Lcsw's practice location on file with NPPES is 8990 Lorraine Rd, Gulfport, MS 39503-4176.
- What is Phyllis L Dickerson Lcsw's phone number?
- The practice phone number listed in the NPPES registry for Phyllis L Dickerson Lcsw is (228) 331-3310.
- Does Phyllis L Dickerson Lcsw accept Medicare?
- Phyllis L Dickerson Lcsw is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Phyllis L Dickerson Lcsw?
- The authorized official listed on Phyllis L Dickerson Lcsw's NPPES record is Phyllis Dickerson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phyllis L Dickerson Lcsw's NPI active?
- Yes — Phyllis L Dickerson Lcsw's NPI (1750802534) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.