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
Fax: (816) 753-7744
Website:

Health care specialties

SpecialtyCodeLicense #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 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033274188 NPPES
Missouri MEDICAID 496962101

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