Dickerson, Deanna Rachelle
Dickerson, Deanna Rachelle is an sole proprietor health care provider with primary practice located at 23228 Madero , Mission Viejo CA 92691-2706. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dickerson, Deanna Rachelle can be contacted via phone (949) 454-3940.Contact Information
Primary practice address
23228 Madero
Mission Viejo CA 92691-2706
Phone: (949) 454-3940
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW92414 | California |
Profile Details
| NPI number | 1588913776 |
|---|---|
| LBN Legal business name | Dickerson, Deanna Rachelle |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 4th, 2012 |
| Last updated | May 18th, 2020 - about 6 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 | 1588913776 | NPPES |
| California | Other | 92414 | BBS |
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