Individual provider Active NPI

Marie Antoinette Dixon, LCSW

  • Clinical Social Worker
  • Hazelwood, MO
National Provider Identifier
1750725834
Registry record updated Oct 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2017037198 Issued in MO
Practice address
945 Hornet Dr Ste 320
Hazelwood, MO 63042-2309
Phone
(314) 749-9932
NPI assigned
Apr 19, 2013
Last updated
Oct 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2026

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 2017037198 MO Primary

Addresses

Primary practice location

945 Hornet Dr Ste 320
Hazelwood, MO 63042-2309

Mailing address

945 Hornet Dr Ste 320
Hazelwood, MO 63042-2309
Phone (314) 749-9932

Other practice location 1

1001 Lynch St
Saint Louis, MO 63118-1818
Phone (314) 535-5600

Other names 1

  • Marie A Green Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20200210001970 MO Practitioner - Clinical Social Worker 3072949197 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2012034582MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Diamond Diva Empowerment Foundation Initiative 2Def CurrentSince Jan 3, 2025 Accepting new patients
Walters Walk Past Accepting new patients

Locations

737 Dunn Rd
Hazelwood, MO 63042
Phone (314) 472-3433

1027 S Vandeventer Ave
Fl 6
Saint Louis, MO 63110
Phone (314) 328-4348

Organizations & group practices 3

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": "1366329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793318400000",
    "number": "1750725834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 HORNET DR STE 320",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422309",
            "telephone_number": "314-749-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 HORNET DR STE 320",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422309",
            "telephone_number": "314-749-9932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Lynch St",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631181818",
            "country_code": "US",
            "telephone_number": "314-535-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "MARIE",
        "middle_name": "ANTOINETTE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-19",
        "last_updated": "2026-10-30",
        "certification_date": "2026-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2017037198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "GREEN",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hazelwood, MO

Sources for this page

Verify at the official NPI Registry.