Individual provider Active NPI

Megan E Dixon, LISW-S

  • Clinical Social Worker
  • Dayton, OH
National Provider Identifier
1558764043
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1600787-SUPV Issued in OH
Practice address
100 Elmwood Park Dr Ste 201
Dayton, OH 45449-5402
Phone
(937) 384-0580
NPI assigned
Sep 29, 2014
Last updated
Sep 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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 I.1600787-SUPV OH Primary

Addresses

Primary practice location

100 Elmwood Park Dr Ste 201
Dayton, OH 45449-5402

Mailing address

100 Elmwood Park Dr Ste 201
Dayton, OH 45449-5402

Other practice location 1

210 S 2nd St
Hamilton, OH 45011-2811
Phone (513) 645-9550 ext. 306

Other names 1

  • Megan E Dell Former name

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
I.1600787-SUPVOHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1558764043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ELMWOOD PARK DR STE 201",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454495402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ELMWOOD PARK DR STE 201",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454495402",
            "telephone_number": "937-384-0580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 S 2nd St",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450112811",
            "country_code": "US",
            "telephone_number": "513-645-9550 x306",
            "fax_number": "513-645-9559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "MEGAN",
        "middle_name": "E",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1600787-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "DELL",
            "middle_name": "E",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.