Active NPI
Ashley Nicole Dixon, LCSW
- Clinical Social Worker
- Platteville, WI
National Provider Identifier
1033899083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11250-123
- Practice address
- 1400 Eastside Rd
Platteville, WI 53818-9800 - Phone
- (608) 348-3656
- Fax
- (608) 342-3025
- NPI assigned
- Jul 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11250-123 | WI | Primary |
Addresses
Primary practice location
1400 Eastside Rd
Platteville, WI 53818-9800
Mailing address
1400 Eastside Rd
Platteville, WI 53818-9800
Phone (608) 348-3656
Other names 1
- Ashley Nicole Jennerjohn
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231130002494 | WI | Practitioner - Clinical Social Worker | 7517315542 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Health Center, Inc | Current | Accepting new patients | |
| Southwest Health Center, Inc. | Current | Accepting new patients | |
| Southwest Health Center, Inc. | Current | Accepting new patients |
Locations
1450 Eastside Rd
Platteville, WI 53818
Phone (608) 348-2331
1400 Eastside Rd
Platteville, WI 53818
Phone (608) 342-4712
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Cuba City, WI
- NPI 1275886590
-
- Rural Health Clinic/Center
- Cuba City, WI
- NPI 1316324429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1033899083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 EASTSIDE RD",
"city": "PLATTEVILLE",
"state": "WI",
"postal_code": "538189800",
"telephone_number": "608-348-3656",
"fax_number": "608-342-3025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 EASTSIDE RD",
"city": "PLATTEVILLE",
"state": "WI",
"postal_code": "538189800",
"telephone_number": "608-348-3656",
"fax_number": "608-342-3025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "ASHLEY",
"middle_name": "NICOLE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-24",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "11250-123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "JENNERJOHN",
"middle_name": "NICOLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Platteville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.