Ebonie Taylor-Dixon, LCSW-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P010808 Issued in NC

Practice address

1435 Garfield St
New Bern, NC 28560-3615

Phone

(252) 665-5551

NPI assigned

Nov 17, 2016

Last updated

Aug 8, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Project-Yme, PLLC

  • Clinical Social Worker
  • New Bern, NC
  • NPI 1447943311
  NPD Authorized official
• One Therapy and Consulting, P.a.

  • Adult Mental Health Clinic/Center
  • New Bern, NC
  • NPI 1639764640
  NPD (past)

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1912449216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 GARFIELD ST",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285603615",
            "telephone_number": "252-665-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 GARFIELD ST",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285603615",
            "telephone_number": "252-665-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR-DIXON",
        "first_name": "EBONIE",
        "credential": "LCSW-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-17",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "P010808",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P010808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leanne Swickline, M.A., CCC-SLP
• Shannon Dee Swink, AUD, PHD, CCCA
• Jennie Lamont Switzer, MA CCC-SLP
• William P Tally, DDS
• David Thomas Tayloe III, M.D.
• Delia Taylor
• Jason Paul Taylor, PT
• Kiah Taylor
• Rebecca L Taylor, PT
• Tracye Taylor

• Clinical Social Worker in New Bern, NC
• Providers in New Bern, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.