Individual provider Active NPI

Deborah Ann Wyman-Dixson, ACSW

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1730256124
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17645 Issued in CA
Practice address
939 Market St FL 4
San Francisco, CA 94103-1730
Phone
(415) 597-8069
Fax
(415) 597-8004
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 17645 CA Primary

Addresses

Primary practice location

939 Market St FL 4
San Francisco, CA 94103-1730

Mailing address

939 Market St FL 4
San Francisco, CA 94103-1730
Phone (415) 597-8069

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
17645CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730256124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 MARKET ST FL 4",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941031730",
            "telephone_number": "415-597-8069",
            "fax_number": "415-597-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 MARKET ST FL 4",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941031730",
            "telephone_number": "415-597-8069",
            "fax_number": "415-597-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYMAN-DIXSON",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "17645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.