Phyllis L. Dickerson, LCSW
NPI 1114204807ActiveIndividual· Social Worker, Clinical· Gulfport, MS
Social Worker, Clinical (LCSW) in Gulfport, Mississippi, licensed in MS and AL, with an NPI issued in November 2011. Medicare paid $14,172 for services to 15 patients in 2024.
Overview
| NPI | 1114204807 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Nov 8, 2011 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | C | MS |
| Social Worker, Clinical | 1041C0700X | 2253C | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 15 |
|---|---|
| Services billed | 167 across 2 procedure codes |
| Paid by Medicare | $14,172 |
Education and affiliations
| Graduation year | 1980 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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