Mandi Lynne Dickerman , DT
Counselor • Quincy, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mandi Dickerman has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Mandi Dickerman, DT was a registered Counselor practicing in Quincy, IL. Throughout an active medical career spanning 15 years, Mandi Dickerman provided care at the practice location at 4409 MAINE ST until profile deactivation on 2021-03-01.
Practice Location & Contact Primary Location
4409 Maine St
Quincy, IL 62305
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor in Quincy, IL
Practicing in Quincy, IL (3897 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101Y00000X
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor
Bachelor of Arts
Social Worker - Clinical
Master of Social Work, Licensed Clinical Social Worker
Social Worker - Clinical
Licensed Clinical Social Worker
Counselor
Bachelor of Science, Mental Health Practitioner
Counselor
Bachelor of Arts
Counselor
Bachelor of Science
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 01, 2021
NPI status registered as active in NPPES database
Registered at 4409 MAINE ST, QUINCY, IL 62305 (Tel: 2172230423)
Registered at 4409 MAINE ST, PO BOX 3646, QUINCY, IL 62305 (Tel: 2172230423)
Recorded as MANDI DICKERMAN, DT
Counselor
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
4409 Maine St, Po Box 3646
Quincy, IL 62305
Phone: 2172230423
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