Penelope Julian Dixon, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P013945 Issued in NC

Practice address

804 S Garnett St
Henderson, NC 27536-4571

Phone

(252) 395-5158

NPI assigned

Sep 1, 2019

Last updated

Oct 3, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1567296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1962050070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 RIVER CLUB WAY",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "275967565",
            "telephone_number": "919-740-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 S GARNETT ST",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275364571",
            "telephone_number": "252-395-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "PENELOPE",
        "middle_name": "JULIAN",
        "name_prefix": "Mrs.",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-01",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P013945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• DLP Maria Parham Medical Center LLC (Maria Parham Health)
• DLP Maria Parham Medical Center LLC (Maria Parham Regional Home Health)
• DLP Maria Parham Physician Practices LLC (Maria Parham Radiation Oncology)

• Clinical Social Worker in Henderson, NC
• Providers in Henderson, 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 Oct 3, 2019; 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.