Individual provider Active NPI

John Dixon, LCSW

  • Clinical Social Worker
  • West Hartford, CT
National Provider Identifier
1023256930
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
004431 Issued in CT
Practice address
430 New Park Ave
West Hartford, CT 06110-1142
Phone
(475) 271-7944
NPI assigned
Jan 30, 2009
Last updated
Sep 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 004431 CT Primary

Addresses

Primary practice location

430 New Park Ave
West Hartford, CT 06110-1142

Mailing address

56 Elm Dr
Newtown, CT 06470-2048
Phone (860) 428-5115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA, RI, NY4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20090622000411 CT Practitioner - Clinical Social Worker 7416986781 Reassigns benefits to 1 organization
I20221201000942 MA Practitioner - Clinical Social Worker 7416986781 Reassigns benefits to 1 organization
I20221201001436 RI Practitioner - Clinical Social Worker 7416986781 Reassigns benefits to 1 organization
I20260126001793 NY Practitioner - Clinical Social Worker 7416986781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Behavioral Health Center for Counseling and Learning LLCGroup PAC ID 8729313135, 27 clinicians

Practice addresses (Care Compare)

1000 Bridgeport Ave
Suite 202
Shelton, CT 06484-4669
Phone (203) 712-9998

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
096790NYMDSocial Worker
004431CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Meditelecare of Massachusetts, PLLC Clinical CurrentSince Aug 9, 2022 Accepting new patients
Valera Medical, P.C. Clinical CurrentSince Jan 1, 2026 Accepting new patients
Behavioral Health Center for Counseling & Learning, LLC CurrentSince Nov 2, 2022 Accepting new patients
Meditelecare of Rhode Island LLC Clinical CurrentSince Aug 9, 2022 Accepting new patients
Compassionate Care Counseling LLC CurrentSince Nov 2, 2022 Accepting new patients
Eastern Connecticut Medical Professionals Foundation Inc Clinical Past Accepting new patients

Locations

984 Southford Rd
Middlebury, CT 06762
Phone (203) 758-2400

1000 Bridgeport Ave
Ste 202
Shelton, CT 06484
Phone (203) 712-9998

84 State St
Boston, MA 02109
Phone (212) 803-9949

134 N 4th St
Brooklyn, NY 11249

139 Centre St
Ste 824
New York, NY 10013
Phone (646) 450-7751

222 Jefferson Blvd
Ste 200
Warwick, RI 02888
Phone (800) 221-5140

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1023256930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 ELM DR",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064702048",
            "telephone_number": "860-428-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 NEW PARK AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061101142",
            "telephone_number": "475-271-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "JOHN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-30",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "004431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.