Individual provider Active NPI

Bridget Anne Dixon

  • Clinical Social Worker
  • Lawrence, KS
National Provider Identifier
1770855165
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4383 Issued in KS
Practice address
1525 W 6TH St Ste a
Lawrence, KS 66044-1773
Phone
(785) 842-9679
NPI assigned
Feb 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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 4383 KS Primary

Addresses

Primary practice location

1525 W 6TH St Ste a
Lawrence, KS 66044-1773

Mailing address

1525 W 6TH St Ste a
Lawrence, KS 66044-1773
Phone (785) 842-9679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20241205003404 KS Practitioner - Clinical Social Worker 9739615337 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4383KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bert Nash Community Mental Health Center Inc CurrentSince Nov 14, 2024 Accepting new patients
Pawnee Mental Health Service, Inc. Past Accepting new patients
Douglas County Child Development Association Social Worker Past Accepting new patients

Locations

200 Maine St
Ste A
Lawrence, KS 66044
Phone (785) 832-8192

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1770855165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 W 6TH ST STE A",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441773",
            "telephone_number": "785-842-9679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 W 6TH ST STE A",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441773",
            "telephone_number": "785-842-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "BRIDGET",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-01",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.