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

Michael A Dickson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1114107042

Michael A Dickson is a Clinical Social Worker in Boise, Idaho. Qualified in 2003, 23 years ago. Practices with Bridgeway Health Services LLC, a 10-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
23
Licensed in
ID
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

8100 W Emerald St Ste 150
Boise, ID 83704-9057
Phone: (208) 375-0752
Fax: (208) 375-0796
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LCSW - 28518 (ID)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence ACADC - 76 (ID)

Record details

NPI number1114107042
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 8, 2007
Last updated in NPPESNovember 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Bridgeway Health Services Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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