Marcelina Dickenson
Community Health Worker in Owosso, MI. Individual provider (NPI-1).
NPI number1093486540
StatusActive
Last updated in NPPESSep 24, 2021
Details
- NPI
- 1093486540
- Entity type
- Individual (NPI-1)
- Name
- Marcelina Dickenson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 24, 2021
- Certification date
- Sep 24, 2021
- Last updated
- Sep 24, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
1634 Lynn StOwosso, MI 48867-3342
Phone 989-627-7242
Mailing address
1634 Lynn StOwosso, MI 48867-3342
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 176 Community Health Worker providers in Owosso · All 1,229 providers in Owosso
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