Gwendolyn Powell Dixon, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801061860 Issued in MI

Practice address

7779 Thornhill Dr
Ypsilanti, MI 48197-6149

Phone

(734) 635-1527

Fax

(734) 635-1527

NPI assigned

Jul 1, 2006

Sex

Female

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1760411755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7779 THORNHILL DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481976149",
            "telephone_number": "734-635-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7779 THORNHILL DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481976149",
            "telephone_number": "734-635-1527",
            "fax_number": "734-635-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL DIXON",
        "first_name": "GWENDOLYN",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801061860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Poppaw, PT, DPT
• Victoria A Portman, CRNA
• Terese Louise Posh I, OTD
• Positive Vibrations LLC
• Katherine Jeane Potts, LMSW
• Clara Adome Powell
• Dexter Tyler Powell, MD
• Lynwood Powell
• Thomas Power, P.A.
• Victoria Ann Powers, MA, LLC

• Clinical Social Worker in Ypsilanti, MI
• Providers in Ypsilanti, 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 Apr 13, 2023; 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.