Individual provider Active NPI

William Paul Hixson, L.C.S.W.-C

  • Clinical Social Worker
  • Gaithersburg, MD
National Provider Identifier
1356381495
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05376 Issued in MD
Practice address
8 Brookes Ave Ste 203
Gaithersburg, MD 20877-2799
Phone
(301) 648-6109
NPI assigned
Jun 7, 2006
Last updated
Oct 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2018

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 05376 MD Primary

Addresses

Primary practice location

8 Brookes Ave Ste 203
Gaithersburg, MD 20877-2799

Mailing address

8 Brookes Ave Ste 203
Gaithersburg, MD 20877-2799
Phone (301) 648-6109

Other identifiers 3

IdentifierTypeStateIssuer
000761680OtherMDUNITED BEHAVIORAL HEALTH
CR78-0000OtherDCCAREFIRST BC/BS
2349757OtherMDCIGNA BEHAVIORAL HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090609000086 DC Practitioner - Clinical Social Worker 5092865311 Practice locations: Gaithersburg, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8 Brookes Ave
Suite 203
Gaithersburg, MD 20877-2799
Phone (301) 648-6109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05376MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
William Paul Hixson PastSince Nov 1, 2016 Accepting new patients

Organizations & group practices 1

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1356381495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BROOKES AVE STE 203",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772799",
            "telephone_number": "301-648-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 BROOKES AVE STE 203",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772799",
            "telephone_number": "301-648-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIXSON",
        "first_name": "WILLIAM",
        "middle_name": "PAUL",
        "credential": "L.C.S.W.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "05376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "000761680",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC/BS",
            "identifier": "CR78-0000",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "2349757",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.