Kendra Dixson, LMSW - CLINICAL

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801096981 Issued in MI

Practice address

41000 Woodward Ave Ste 350
Bloomfield Hills, MI 48304-5092

Phone

(248) 835-5705

Fax

(248) 590-2867

NPI assigned

Feb 18, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1518912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1154821932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41000 WOODWARD AVE STE 350",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483045092",
            "telephone_number": "248-900-1980",
            "fax_number": "248-590-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41000 WOODWARD AVE STE 350",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483045092",
            "telephone_number": "248-835-5705",
            "fax_number": "248-590-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXSON",
        "first_name": "KENDRA",
        "name_prefix": "Ms.",
        "credential": "LMSW - CLINICAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-18",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801096981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony E Dietz, DDS, MS
• Gerald C Dietz Jr., D.D.S.
• Lorenzo Dipace, DPT
• Sandy Anna Diponio, O.D.
• Hannah Disbrow, RDN
• Dna Chore Service LLC
• Shari Jill Dobrusin, PHD
• Donna Major, LLC
• Darcy L Donnelly
• Doris M Daniels PLLC

• Clinical Social Worker in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.