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

Tahja-Rae M Dickenson

Individual provider Clinical Social Worker · NPI 1386317683

Tahja-Rae M Dickenson is a Clinical Social Worker in Germantown, Maryland. Qualified in 2020, 6 years ago. Practices as a sole proprietor. Licensed in Maryland, Pennsylvania, Texas and Virginia.

Years since qualifying
6
Licensed in
MD, PA, TX, VA
In the registry since
2021
Specialties on file
4
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Practice location Address checks out

12410 Milestone Center Dr Ste 600
Germantown, MD 20876-7102
Phone: (571) 457-9306
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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 29901 (MD)
Clinical Social Worker Taxonomy 1041C0700X · Licence 119359 (TX)
Clinical Social Worker Taxonomy 1041C0700X · Licence CW027072 (PA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 0904019866 (VA)

Record details

NPI number1386317683
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 1, 2021
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Germantown