Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Latreece Evette Dickerson, PSYD

Individual provider Clinical Social Worker · NPI 1053409722

Dr. Latreece Evette Dickerson, PSYD is a Clinical Psychologist in Chicago, Illinois. Qualified in 2013, 13 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
13
Licensed in
IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

9933 S Western Ave Ste 203
Chicago, IL 60643-1810
Phone: (312) 730-3966
Fax: (312) 803-1635
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7230 S Fairfield Avenue, Chicago, IL 60629 — (773) 440-2248

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071009102 (IL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 149-008520 (IL)

Record details

NPI number1053409722
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedOctober 10, 2006
Last updated in NPPESNovember 10, 2023
Certification dateNovember 10, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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