Provider Demographics
NPI:1336846849
Name:DICKER, ANIEKA M (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ANIEKA
Middle Name:M
Last Name:DICKER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6805 W COMMERCIAL BLVD # 1220
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33319-2116
Mailing Address - Country:US
Mailing Address - Phone:954-228-5082
Mailing Address - Fax:
Practice Address - Street 1:4814 NW 82ND AVE
Practice Address - Street 2:# 1807
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33351-5632
Practice Address - Country:US
Practice Address - Phone:954-228-5082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-14
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL209251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical