Stephanie Lynn Dixon, LSW, CPRP

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW134588 Issued in PA

Practice address

103 E Beaver Ave Ste 2
State College, PA 16801-4969

Phone

(814) 409-7744

NPI assigned

Feb 27, 2018

Last updated

Feb 27, 2018By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

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  NPD Authorized official
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  • Mental Health Counselor
  • State College, PA
  • NPI 1578021929
  NPD (past)

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1407357106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E BEAVER AVE STE 2",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168014969",
            "telephone_number": "814-409-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E BEAVER AVE STE 2",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168014969",
            "telephone_number": "814-409-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "credential": "LSW, CPRP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW134588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LSW",
            "identifier": "SW134588",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dallis Dillon
• Adriana Distanislao, PA-C
• Lynn E Diven, RD LD CDE
• Courtney Dixon-Hudlow
• Richard H. Dixon, M.D.
• Suzanne E Dixon, CRNA
• Timothy Frederick Doberstein, MD
• Margaret Ryan Doby, LCSW
• Teresa Dolan
• Dennis Dombrowski, MD

• Social Worker in State College, PA
• Providers in State College, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.