Individual provider Active NPI

Cecelia Dixie, M.S.W. - LCSW

  • Clinical Social Worker
  • Decatur, GA
National Provider Identifier
1851624993
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005169 Issued in GA
Practice address
1700 Clairmont Rd
Decatur, GA 30033-4032
Phone
(404) 321-6111
Fax
(404) 929-5819
NPI assigned
Sep 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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 CSW005169 GA Primary

Addresses

Primary practice location

1700 Clairmont Rd
Decatur, GA 30033-4032

Mailing address

3300 Stadium Dr
Apt. 210
Phenix City, AL 36867-3184
Phone (706) 566-4602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20211020000602 GA Practitioner - Clinical Social Worker 6103214481 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Willow Oak Community Behavioral Health CenterGroup PAC ID 4981034097, 2 clinicians

Practice addresses (Care Compare)

6944 Hwy 85
Suite F
Riverdale, GA 30274-2960
Phone (770) 683-6946

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Jun 14, 2023 Accepting new patients
Willow Oak Community Behavioral Health Center CurrentSince Mar 8, 2022 Accepting new patients
Willow Oak Foundation, Inc. PastSince Aug 1, 2020 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

37 Calumet Pkwy
Ste J102
Newnan, GA 30263

6944 Highway 85
Ste F
Riverdale, GA 30274
Phone (770) 683-6946

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": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1851624993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 STADIUM DR",
            "address_2": "APT. 210",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368673184",
            "telephone_number": "706-566-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CLAIRMONT RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300334032",
            "telephone_number": "404-321-6111",
            "fax_number": "404-929-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXIE",
        "first_name": "CECELIA",
        "credential": "M.S.W. - LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-08",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.