Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHELLEY M DICKASON, QMHA
ActiveCase Manager · LA PINE, OR
Registration Details
- NPI Number
- 1124515184
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 16, 2018 (8.0554637618601 yrs)
- Last Updated
- Apr 27, 2023
- License
-
19-QMHA-I-00890 (OR)
Practice Information
- Address
-
51340 HIGHWAY 97LA PINE, OR, 977399871Browse OR providers · Browse ZIP 97739
- Phone
- 5413227500
- Fax
- 5413227565
- Primary Specialty
-
Case Manager
171M00000X
- Additional Specialty
- Case Manager
- Additional Specialty
- Mental Health Counselor
Other Case Manager Providers in LA PINE, OR
| Name | Credential | NPI |
|---|---|---|
| JULIANNA GENTRY | — | 1487254751 |
| DAVID LEWIS FOX | — | 1225789118 |
| SARAH MAUREEN STEDMAN | — | 1992448013 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.