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

Individual provider Mental Health Counselor · NPI 1629342357

Merridy R. Dickey, LICSW is a Clinical Social Worker in Walla Walla, Washington. Qualified in 2016, 10 years ago. Practices with Privia Medical Group Washington PLLC, a 72-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
10
Licensed in
WA
In the registry since
2012
Specialties on file
3
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

55 W Tietan St
Walla Walla, WA 99362-4498
Phone: (509) 525-5010
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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
Mental Health Counselor Taxonomy 101YM0800X
Mental Health Counselor Taxonomy 101YM0800X · Licence LW60954668 (WA)

Record details

NPI number1629342357
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedFebruary 27, 2012
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Privia Medical Group Washington Pllc — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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