Provider Demographics
NPI:1396926846
Name:DICKERMAN, GERHILD SACHS (MSW)
Entity type:Individual
Prefix:MS
First Name:GERHILD
Middle Name:SACHS
Last Name:DICKERMAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 WOODFIN AVE
Mailing Address - Street 2:STE A
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-3033
Mailing Address - Country:US
Mailing Address - Phone:828-712-9155
Mailing Address - Fax:828-505-3278
Practice Address - Street 1:3 WOODFIN AVE
Practice Address - Street 2:SUITE A
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-3033
Practice Address - Country:US
Practice Address - Phone:828-712-9155
Practice Address - Fax:828-505-3278
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-26
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0055831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6106900Medicaid
2860040Medicare PIN