Active NPI
Chiquita Deborah Dixon, LCSW
- Clinical Social Worker
- Chicago Heights, IL
National Provider Identifier
1588222012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.020869
- Practice address
- 500 Dixie Hwy
Chicago Heights, IL 60411-1741 - Phone
- (708) 625-4796
- NPI assigned
- May 30, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | IL | ||
| Clinical Social Worker | 1041C0700X | 149.020869 | IL | Primary |
Addresses
Primary practice location
500 Dixie Hwy
Chicago Heights, IL 60411-1741
Mailing address
9143 S Urban Ave
Chicago, IL 60619-6645
Other practice location 1
1536 Vincennes Ave
Chicago Heights, IL 60411-3458
Phone (312) 550-3116
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
| License | State | Type | Specialty |
|---|---|---|---|
| 149.020869 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aunt Martha'S Health and Wellness, Inc. | Past | Accepting new patients |
Interoperability endpoints
- chiquita.dixon.1@13826.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Chicago Heights, IL
- NPI 1255778221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1588222012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9143 S URBAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606196645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 DIXIE HWY",
"city": "CHICAGO HEIGHTS",
"state": "IL",
"postal_code": "604111741",
"telephone_number": "708-625-4796"
}
],
"practiceLocations": [
{
"address_1": "1536 Vincennes Ave",
"address_purpose": "LOCATION",
"city": "Chicago Heights",
"state": "IL",
"postal_code": "604113458",
"country_code": "US",
"telephone_number": "312-550-3116",
"fax_number": "708-754-2051",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIXON",
"first_name": "CHIQUITA",
"middle_name": "DEBORAH",
"name_prefix": "Miss",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-30",
"last_updated": "2023-02-24",
"certification_date": "2023-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.020869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.