Individual provider Active NPI

Tokuko Jeanette Dixon

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1851633747
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11485-C Issued in NV
Practice address
1919 S Jones Blvd
Las Vegas, NV 89146-0905
Phone
(702) 695-4345
NPI assigned
Mar 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X
Clinical Social Worker 1041C0700X 11485-C NV Primary

Addresses

Primary practice location

1919 S Jones Blvd
Las Vegas, NV 89146-0905

Mailing address

1919 S Jones Blvd Ste G
Las Vegas, NV 89146-1299
Phone (702) 695-4345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20250428001132 NV Practitioner - Clinical Social Worker 1951793827 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11485-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Way Empowerment Center LLC Clinical CurrentSince Feb 29, 2020 Accepting new patients
Healthcare Partners Medical Group (Coats) LTD. PastSince Nov 17, 2024 Accepting new patients

Locations

1919 S Jones Blvd
Ste G
Las Vegas, NV 89146
Phone (702) 695-4345

Organizations & group practices 2

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": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1851633747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S JONES BLVD STE G",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461299",
            "telephone_number": "702-695-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460905",
            "telephone_number": "702-695-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "TOKUKO",
        "middle_name": "JEANETTE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-19",
        "last_updated": "2024-11-12",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "11485-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.