Individual provider Active NPI

Dixie Purdy Sanspree

  • Clinical Social Worker
  • Winston Salem, NC
National Provider Identifier
1699369694
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C001346 Issued in NC
Practice address
3111 Maplewood Ave Ste 105
Winston Salem, NC 27103-3992
Phone
(336) 659-8817
Fax
(336) 659-7799
NPI assigned
Feb 22, 2021
Last updated
Feb 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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 C001346 NC Primary

Addresses

Primary practice location

3111 Maplewood Ave Ste 105
Winston Salem, NC 27103-3992

Mailing address

6012 Allington CT
Winston Salem, NC 27104-2512
Phone (336) 655-0094

Other names 1

  • Dixie Purdy-Sanspree Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210224001916 NC Practitioner - Clinical Social Worker 5294140224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2990 Bethesda PL
Suite 602B
Winston Salem, NC 27103-3309
Phone (336) 768-8281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C001346NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Directions - Treatment Center for Anxiety and Depression CurrentSince Jun 1, 2024 Accepting new patients

Locations

2990 Bethesda Pl
Ste 602B
Winston Salem, NC 27103
Phone (336) 768-8281

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1699369694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6012 ALLINGTON CT",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271042512",
            "telephone_number": "336-655-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 MAPLEWOOD AVE STE 105",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033992",
            "telephone_number": "336-659-8817",
            "fax_number": "336-659-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANSPREE",
        "first_name": "DIXIE",
        "middle_name": "PURDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C001346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIXIE",
            "last_name": "PURDY-SANSPREE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.