Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Theodore Joseph Dickens Jr., LCSW

Individual provider Clinical Social Worker · NPI 1306197603

Theodore Joseph Dickens Jr., LCSW is a Clinical Social Worker in Metairie, Louisiana. Qualified in 2000, 26 years ago. Practices as a sole proprietor. Licensed in Louisiana and Texas.

Years since qualifying
26
Licensed in
LA, TX
In the registry since
2012
Specialties on file
2
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

4009 Henican Pl
Metairie, LA 70003-1309
Phone: (504) 610-7722
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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 4758 (LA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 113780 (TX)

Record details

NPI number1306197603
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 26, 2012
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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