Shade Dickson

Case Manager/Care Coordinator · Williamstown, NJ

Individual Active NPI

NPI number 1497137897

Practice location

1330 N Black Horse Pike
Suite D
Williamstown, NJ 08094-9160
Phone
(856) 262-1200

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NPI record

NPI
1497137897
Entity type
Individual (Type 1)
Enumeration date
June 22, 2015
Last updated
June 22, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X 474254341 NJ

Mailing address

1123 Tara Dr
Williamstown, NJ 08094-3591
Phone
(856) 262-1200
Fax
(856) 262-1204

About Shade Dickson

Shade Dickson is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 1330 N Black Horse Pike, Suite D, Williamstown, NJ 08094-9160. The NPI number 1497137897 was assigned on June 22, 2015 and the record was last updated on June 22, 2015.

Shade Dickson lists a license in the registry: #474254341 (NJ) for Case Manager/Care Coordinator. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Shade Dickson?

The NPI number is 1497137897.

What is the phone number of Shade Dickson?

The phone number listed for the practice location is (856) 262-1200.

Where is Shade Dickson located?

1330 N Black Horse Pike, Suite D, Williamstown, NJ 08094-9160.

What is the taxonomy code for Shade Dickson?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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