Bradley Dixon, MSW / ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801035592 Issued in MI

Practice address

901 Chippewa St
Flint, MI 48503-1552

Phone

(810) 232-9950

Fax

(810) 232-3869

NPI assigned

Mar 7, 2016

Last updated

Mar 7, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in MI

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

Specialty

Clinical Social Worker

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Catholic Charities of Shiawassee and Genesee CountiesGroup PAC ID 9537158068, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Catholic Charities of Shiawassee and Genesee Counties

  • Mental Health Counselor
  • Owosso, MI
  • NPI 1801819149
  Medicare reassignment Care Compare group NPD
• Catholic Charities of Shiawassee and Genesee Counties

  • Mental Health Counselor
  • Owosso, MI
  • NPI 1689155590
  NPD (past)

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1740640507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 HUGHES AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485033270",
            "telephone_number": "810-252-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CHIPPEWA ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485031552",
            "telephone_number": "810-232-9950",
            "fax_number": "810-232-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "BRADLEY",
        "name_prefix": "Mr.",
        "credential": "MSW / ACSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801035592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Marie Distelrath, RN
• Caelyn Ditz, LLMSW
• Divine Needs Assisted Living LLC
• Diwakar Kinra PC
• Bobbie Dixon, LLMSW
• Dakotah Dixon
• Jessica Dixon, MSW
• Jessica Brianna Dixon, PA-C
• Kamela Dixon
• Ryan Dixon, M.A., L.P.C.

• Clinical Social Worker in Flint, MI
• Providers in Flint, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.