Takeisa Miracle Dixon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

108355 Issued in TX

Practice address

9400 N Central Expy
Dallas, TX 75231-5027

Phone

(405) 821-4890

NPI assigned

Mar 18, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1629537840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 LAKE CAROLYN PKWY APT 3002",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750394668",
            "telephone_number": "405-821-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 N CENTRAL EXPY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315027",
            "telephone_number": "405-821-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "TAKEISA",
        "middle_name": "MIRACLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "108355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise Kristine Dixon, M.S. CCC-SLP
• Emma Dixon, DDS
• John Aaron Dixon
• Juliana Dixon
• Shana-Lee Dixon
• Jeanine Ann Dixson, PA C
• Piper Madison Dizak, DMD
• Gabrielle Dizon, DDS
• Djsaccomd,PLLC
• Christian Djuanda, PA-C

• Clinical Social Worker in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.