Individual provider Active NPI

Sara Maria Mathews Dixon, LCSW

  • Clinical Social Worker
  • Darien, CT
National Provider Identifier
1437486305
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006606 Issued in CT
Practice address
36 Old Kings Hwy S
Suite 210
Darien, CT 06820-4552
Phone
(203) 636-0080
Fax
(203) 636-0080
NPI assigned
Nov 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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 006606 CT Primary

Addresses

Primary practice location

36 Old Kings Hwy S
Suite 210
Darien, CT 06820-4552

Mailing address

36 Old Kings Highway South
Suite 210
Darien, CT 06820
Phone (203) 636-0080

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
006606CTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1437486305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 OLD KINGS HIGHWAY SOUTH",
            "address_2": "SUITE 210",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "06820",
            "telephone_number": "203-636-0080",
            "fax_number": "203-636-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 OLD KINGS HWY S",
            "address_2": "SUITE 210",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204552",
            "telephone_number": "203-636-0080",
            "fax_number": "203-636-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS DIXON",
        "first_name": "SARA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-12",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.