Dickerson, Barbara Jane
Dickerson, Barbara Jane is an sole proprietor health care provider with primary practice located at 12600E Us Highway 40 101 , Independence MO 64055-5909. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dickerson, Barbara Jane can be contacted via phone (816) 405-1341.Contact Information
Primary practice address
12600E Us Highway 40 101
Independence MO 64055-5909
Phone: (816) 405-1341
Fax: (816) 753-7744
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 000271 | Missouri |
Profile Details
| NPI number | 1033274188 |
|---|---|
| LBN Legal business name | Dickerson, Barbara Jane |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Sep 15th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033274188 | NPPES |
| Missouri | MEDICAID | 496962101 |
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