Provider Demographics
NPI:1558901082
Name:DICKEY, TERRAND (LMSW)
Entity Type:Individual
Prefix:
First Name:TERRAND
Middle Name:
Last Name:DICKEY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 871
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36831-0871
Mailing Address - Country:US
Mailing Address - Phone:334-329-6063
Mailing Address - Fax:334-329-6063
Practice Address - Street 1:118 N ROSS ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-4857
Practice Address - Country:US
Practice Address - Phone:334-329-6063
Practice Address - Fax:334-329-6063
Is Sole Proprietor?:No
Enumeration Date:2020-01-13
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4217G104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker