Individual provider Active NPI

Anita Denise Dixon-Thomas, LCSW

  • Clinical Social Worker
  • Powder Springs, GA
National Provider Identifier
1922306307
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW002102 Issued in GA
Practice address
4264 Defoors Farm TRL
Powder Springs, GA 30127-4067
Phone
(678) 384-1992
Fax
(678) 384-1993
NPI assigned
Mar 8, 2011
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

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

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Psych Solutions Corp Clinical Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW002102 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

4264 Defoors Farm TRL
Powder Springs, GA 30127-4067

Mailing address

4264 Defoors Farm TRL
Powder Springs, GA 30127-4067
Phone (678) 384-1992

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 8, 2011.

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1922306307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4264 DEFOORS FARM TRL",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301274067",
            "telephone_number": "678-384-1992",
            "fax_number": "678-384-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4264 DEFOORS FARM TRL",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301274067",
            "telephone_number": "678-384-1992",
            "fax_number": "678-384-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON-THOMAS",
        "first_name": "ANITA",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW002102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powder Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.

Verify at the official NPI Registry.