| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SHIRELLE W DICKERSON | 1396473625 | 2022-08-14 |
Shirelle W Dickerson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1396473625. Registration indicates Shirelle W Dickerson is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Shirelle W Dickerson LCSW-C |
| Practice Office Address | 615 CHINA CLIPPER CIR ESSEX, MD US |
| Practice Office Telephone | 4434490409 |
| Mailing Address | 615 CHINA CLIPPER CIR ESSEX, MD 212215964 US |
| Business Telephone | 4434490409 |
| Code | Practice | License No State |
|---|---|---|
| 101YM0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor |