Marie Antoinette Dixon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2017037198 Issued in MO

Practice address

737 Dunn Rd
Hazelwood, MO 63042-1740

Phone

(314) 736-0873

NPI assigned

Apr 19, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

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 and National Provider Directory roles.

• Gaining Perspectives LLC

  • Clinical Social Worker
  • Hazelwood, MO
  • NPI 1215401609
  Medicare reassignment Authorized official
• Diamond Diva Empowerment Foundation Initiative 2Def

  • Community/Behavioral Health Agency
  • Saint Louis, MO
  • NPI 1144804519
  Medicare reassignment NPD
• Walters Walk

  • Professional Counselor
  • Hazelwood, MO
  • NPI 1609442441
  NPD (past)

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1750725834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 ESTES DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630314236",
            "telephone_number": "314-736-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 DUNN RD",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421740",
            "telephone_number": "314-736-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "MARIE",
        "middle_name": "ANTOINETTE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-19",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2012034582",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2017037198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490063669",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Praja Dhital
• Digestive Care Consultants, Inc
• Digestive Disease Specialists Inc
• Divine Care Home Health Services
• Divine Hands Home Care CDS LLC
• Kitty Dong
• Julia Dooley, MA, PLPC
• Delores Chantel Dotson, MD
• Deborah L Dowden, M.D.
• Kimberly Dowling, BCBA

• Clinical Social Worker in Hazelwood, MO
• Providers in Hazelwood, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.