Allecia Dixon, BS

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

10570 S Federal Hwy Ste 200
Port St Lucie, FL 34952-5606

Phone

(772) 380-9972

Fax

(772) 380-9976

NPI assigned

Aug 30, 2012

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)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1598014052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10570 S FEDERAL HWY STE 200",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525606",
            "telephone_number": "772-380-9972",
            "fax_number": "772-380-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10570 S FEDERAL HWY STE 200",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525606",
            "telephone_number": "772-380-9972",
            "fax_number": "772-380-9976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 W Midway Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "349814823",
            "country_code": "US",
            "telephone_number": "772-468-5600",
            "fax_number": "772-468-5606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "ALLECIA",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-30",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "596153749",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.