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

Gregory Dickerson, LCSW

Individual provider Clinical Social Worker · NPI 1568887339

Gregory Dickerson, LCSW is a Clinical Social Worker in Boise, Idaho. Qualified in 1995, 31 years ago. Practices with Benewah Medical Center, a 28-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
31
Licensed in
ID
In the registry since
2014
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4477 W Emerald St Ste C100
Boise, ID 83706-2000
Phone: (208) 321-0160
Fax: (208) 321-0221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW-42076 (ID)

Record details

NPI number1568887339
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 3, 2014
Last updated in NPPESApril 14, 2022
Certification dateApril 14, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Benewah Medical Center — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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