Dickerson, Nathan Lewis

Dickerson, Nathan Lewis is an individual health care provider with primary practice located at 5550 Friendship Blvd Ste 590 , Chevy Chase MD 20815-7310. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Dickerson, Nathan Lewis can be contacted via phone (410) 757-2077.

Contact Information

Primary practice address
5550 Friendship Blvd Ste 590 Chevy Chase MD 20815-7310
Phone: (410) 757-2077
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LC13079 Maryland
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC13079 Maryland

Profile Details

NPI number 1336790716
LBN Legal business name Dickerson, Nathan Lewis
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2019
Last updated Jan 23rd, 2024 - about last year

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 1336790716 NPPES
Maryland MEDICAID 38-3876389

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