Individual
MS. JOAN P DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,LCSW, LMFT, LPC
Contact information
Practice address
3333 N MAYFAIR RD, SUITE 210, WAUWATOSA, WI 53222-3219
(414) 750-8033
(414) 778-1531
Mailing address
P. O. BOX 593, STURTEVANT, WI 53177-0593
(414) 750-8033
(414) 778-1531
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
340-125
WI
1041C0700X
Clinical Social Worker
Primary
1178-123
WI
106H00000X
Marriage & Family Therapist
391-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40918800
—
WI
Enumeration date
08/01/2006
Last updated
11/04/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us