Emily Goff Dixon, LCSW
Individual provider Active NPI Social Worker · Hattiesburg, MS
NPI 1609429083 · NPPES record last updated Feb 21, 2022
Key facts
- NPI
- 1609429083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- M8889 (MS)
- Practice address
- 415 S 28TH Ave FL 1
Hattiesburg, MS 39401-7246 - Phone
- (601) 579-3300
- NPI assigned
- Jul 24, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1128 Wayne Lee Rd
Lucedale, MS 39452-7233
PO Box
Suite 923
Hurley, MS 39555
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260323002666 | MS | Practitioner - Clinical Social Worker | 0749764223 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M8889 | MS | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | M8889 | MS | Yes |
Addresses
Primary practice location
415 S 28TH Ave FL 1
Hattiesburg, MS 39401-7246
Mailing address
415 S 28TH Ave FL 1
Hattiesburg, MS 39401-7246
Phone (601) 579-3300
Other providers in Hattiesburg, MS
- Tabitha Ashley Dillard
- Megan Dillon
- Dixie Attendance Center
- Bruce H. Dixon
- Chyra Dixon
- Stephen Todd Dixon
- DJ Shuttle & Tour Service, Inc.
- William Duncan Donald III
- Courtney Nicole Dossett
- Amy R Douglas
All providers in Hattiesburg, MS · Social Worker in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.