Active NPI
Gail A Dix, MS, LCSW, LMFT
- Clinical Social Worker
- La Crosse, WI
National Provider Identifier
1811056906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2592-123
- Practice address
- 1707 Main St
La Crosse, WI 54601-4200 - Phone
- (608) 785-0001
- Fax
- (608) 785-0002
- NPI assigned
- Dec 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2592-123 | WI | Primary |
| Marriage & Family Therapist | 106H00000X | 18-124 | WI |
Addresses
Primary practice location
1707 Main St
La Crosse, WI 54601-4200
Mailing address
1707 Main St
La Crosse, WI 54601-4200
Phone (608) 785-0001
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 165221400 | Medicaid | MN | |
| 13G80DI | Other | MN | BCBS-MN |
| 39243200 | Medicaid | WI | |
| HP66197 | Other | MN | HEALTHPARTNERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2592-123 | WI | MD | Clinical Social Worker |
| 18-124 | WI | MD | Marriage & Family Therapist |
| 2592 | WI | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314662400000",
"number": "1811056906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1707 MAIN ST",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546014200",
"telephone_number": "608-785-0001",
"fax_number": "608-785-0002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1707 MAIN ST",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546014200",
"telephone_number": "608-785-0001",
"fax_number": "608-785-0002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIX",
"first_name": "GAIL",
"middle_name": "A",
"credential": "MS, LCSW, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2011-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "2592-123",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WI",
"license": "18-124",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "165221400",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-MN",
"identifier": "13G80DI",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39243200",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP66197",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.