National Provider Identifier
Mary Lee Dickerson, LCSW
Mary Lee Dickerson, LCSW is listed in the NPPES registry with a primary specialty of School Social Worker in Rochester, NY and a listed phone number of (585) 288-3654.
Profile Overview
- NPI
- 1801171525
- Provider Type
- Individual
- Primary Specialty
- School Social Worker
- Enumeration Date
- October 13, 2011
- Last Updated
- October 13, 2011
Practice Location
- 965 N Goodman St
- Rochester, NY 14609-3930
Phone: (585) 288-3654
Mailing Address
- 3063 Culver RD
- Rochester, NY 14622-2635
Specialties
- School Social Worker (1041S0200X)
- School Social Worker (1041S0200X)
Full Record
- NPI
- 1801171525
- Entity Type
- Individual
- Last Name
- Dickerson
- First Name
- Mary
- Middle Name
- Lee
- Credential
- LCSW
- Mailing Street Address
- 3063 Culver RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14622-2635
- Mailing Country
- US
- Mailing Phone
- (585) 338-7227
- Practice Street Address
- 965 N Goodman St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14609-3930
- Practice Country
- US
- Practice Phone
- (585) 288-3654
- Enumeration Date
- October 13, 2011
- Last Updated
- October 13, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- School Social Worker (1041S0200X), School Social Worker (1041S0200X)