Echo Dixon, LCSW

Individual provider Active NPI Clinical Social Worker · Biddeford, ME

NPI 1821397464 · NPPES record last updated Feb 8, 2023

Key facts

NPI
1821397464
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LC13247 (ME)
Practice address
201 West St
Biddeford, ME 04005-9005
Phone
(207) 332-0023
NPI assigned
Mar 22, 2011
Sex
Female
Sole proprietor
Yes

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

19 Lucille St
Westbrook, ME 04092-2710
Phone (207) 332-0023

Medicare participation

Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20120828000224 ME Practitioner - Clinical Social Worker 1254588197 Practice locations: Westbrook, ME

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
LC13247MEMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC13247 ME Yes

Addresses

Primary practice location

201 West St
Biddeford, ME 04005-9005

Mailing address

201 West St
Biddeford, ME 04005-9005
Phone (207) 332-0023

Other names

  • Echo Kaply-Smith Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 8, 2023.

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1821397464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WEST ST",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059005",
            "telephone_number": "207-332-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WEST ST",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059005",
            "telephone_number": "207-332-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "ECHO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-22",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC13247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ECHO",
            "last_name": "KAPLY-SMITH",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Biddeford, ME

All providers in Biddeford, ME · Clinical Social Worker in Maine

Sources for this page

Verify at the official NPI Registry.