Individual provider Active NPI

Lueva Dixon, M.S.W.

  • Clinical Social Worker
  • Birmingham, MI
National Provider Identifier
1083882625
Registry record updated Feb 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801015411 Issued in MI
Practice address
950 E Maple Rd
Suite 214
Birmingham, MI 48009-6408
Phone
(248) 540-0060
NPI assigned
Feb 18, 2008
Last updated
Feb 18, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801015411 MI Primary

Addresses

Primary practice location

950 E Maple Rd
Suite 214
Birmingham, MI 48009-6408

Mailing address

590 Wallace St
Birmingham, MI 48009-1605
Phone (248) 540-7217

Other identifiers 1

IdentifierTypeStateIssuer
8008973490OtherMIBLUE CROSS/BLUE SHIELD

Other names 1

  • Mrs. Lueva Dixon Lerner Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801015411MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203292800000",
    "number": "1083882625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 WALLACE ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091605",
            "telephone_number": "248-540-7217",
            "fax_number": "248-593-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E MAPLE RD",
            "address_2": "SUITE 214",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096408",
            "telephone_number": "248-540-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "LUEVA",
        "name_prefix": "Ms.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-18",
        "last_updated": "2008-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801015411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "8008973490",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUEVA",
            "last_name": "LERNER",
            "middle_name": "DIXON",
            "prefix": "MRS.",
            "credential": "M.S.W.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.