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

Individual provider Clinical Social Worker · NPI 1780414730

Tara Bray Dickman, LPC is a Mental Health Counselor in North Wales, Pennsylvania. Qualified in 1999, 27 years ago. Practices as a sole proprietor. Licensed in Pennsylvania.

Years since qualifying
27
Licensed in
PA
In the registry since
2024
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1120 Welsh Rd Ste 120
North Wales, PA 19454-3794
Phone: (610) 544-2110
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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 PC017243 (PA)

Record details

NPI number1780414730
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedAugust 5, 2024
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026
Mailing address1120 Welsh Rd Ste 120, North Wales, PA 19454-3794

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Not indicated

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