Individual provider Active NPI

Cheryl Jones-Dix, LCSW

  • Clinical Social Worker
  • Long Beach, CA
National Provider Identifier
1558442863
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 10781 Issued in CA
Practice address
4401 Atlantic Ave
Suite 430
Long Beach, CA 90807-2218
Phone
(562) 428-3266
Fax
(562) 482-3288
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LCS 10781 CA Primary

Addresses

Primary practice location

4401 Atlantic Ave
Suite 430
Long Beach, CA 90807-2218

Mailing address

2099 N Collins Blvd
Suite 100
Richardson, TX 75080-2698
Phone (972) 437-4698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20140605001783 CA Practitioner - Clinical Social Worker 5890919179 Practice locations: Long Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4401 Atlantic Ave
Suite 430
Long Beach, CA 90807-2240
Phone (562) 493-9089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 10781CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558442863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2099 N COLLINS BLVD",
            "address_2": "SUITE 100",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802698",
            "telephone_number": "972-437-4698",
            "fax_number": "972-671-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 ATLANTIC AVE",
            "address_2": "SUITE 430",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072218",
            "telephone_number": "562-428-3266",
            "fax_number": "562-482-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES-DIX",
        "first_name": "CHERYL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 10781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.