Active NPI
William Elemoen Dixon, LCSW
- Clinical Social Worker
- Gurnee, IL
National Provider Identifier
1134596513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.029728
- Practice address
- 4223 Coral Berry Path Apt 103
Gurnee, IL 60031-2169 - Phone
- (618) 353-7585
- NPI assigned
- Sep 1, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.115979 | IL | |
| Clinical Social Worker | 1041C0700X | 149.029728 | IL | Primary |
| Counselor | 101Y00000X |
Addresses
Primary practice location
4223 Coral Berry Path Apt 103
Gurnee, IL 60031-2169
Mailing address
4223 Coral Berry Path Apt 103
Gurnee, IL 60031-2169
Phone (618) 353-7585
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
| License | State | Type | Specialty |
|---|---|---|---|
| 150.115979 | IL | MD | Social Worker |
| 149.029728 | IL | MD | Clinical Social Worker |
Interoperability endpoints
- william.dixon.p1@direct.lakecountyil.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753315200000",
"number": "1134596513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4223 CORAL BERRY PATH APT 103",
"city": "GURNEE",
"state": "IL",
"postal_code": "600312169",
"telephone_number": "618-353-7585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4223 CORAL BERRY PATH APT 103",
"city": "GURNEE",
"state": "IL",
"postal_code": "600312169",
"telephone_number": "618-353-7585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "WILLIAM",
"middle_name": "ELEMOEN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-01",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.115979",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.029728",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gurnee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.