NPI 1003439928

Kelly Nicole Dickerson, LCSW

Practitioner Clinical Social Worker Monroe, GA

Practice location

Address: 204 W Spring St, Monroe, GA 30655-1914
Phone: (770) 599-7508
Fax: (866) 734-7631

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence CSW007086 (GA)

Other Social Worker providers in Georgia →

Registry record

NPI: 1003439928
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 May 2020
Record last updated: 31 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.