Dale Dicker, MEd LCSW
Counselor, Professional in St Louis, MO. Individual provider (NPI-1).
NPI number1053475111
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1053475111
- Entity type
- Individual (NPI-1)
- Name
- Mr. Dale Dicker
- Credential
- MEd LCSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 21, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 000956 | MO | Yes |
| 1041C0700X | Social Worker, Clinical | 002320 | MO |
Practice location
11715 Administration DrSte 101
St Louis, MO 63146
Phone 314-993-8123 · Fax 314-993-8123
Mailing address
11715 Administration DrSte 101
St Louis, MO 63146
Phone 314-993-8123 · Fax 314-993-8123
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