Provider Demographics
NPI:1669581310
Name:DICKEY, BARBARA ALICE (MSW, LCSW, MED)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ALICE
Last Name:DICKEY
Suffix:
Gender:F
Credentials:MSW, LCSW, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:761 5TH AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4210
Mailing Address - Country:US
Mailing Address - Phone:717-660-2114
Mailing Address - Fax:717-660-2116
Practice Address - Street 1:761 5TH AVE
Practice Address - Street 2:SUITE B
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-4210
Practice Address - Country:US
Practice Address - Phone:717-660-2114
Practice Address - Fax:717-660-2116
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2016-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0151721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA87-0784589OtherINDIVIDUAL EIN