Angela Dixon, LCSW | |
309 Plantation Walk, Carrollton, GA 30117-6219 | |
(916) 765-9287 | |
Not Available |
Full Name | Angela Dixon |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 309 Plantation Walk, Carrollton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821577107 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | ASW70613 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 88133 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Entity Name | Menda Behavioral Health Services Of California, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962108779 PECOS PAC ID: 6709251192 Enrollment ID: O20230418000709 |
Mailing Address | Practice Location Address |
---|---|
Angela Dixon, LCSW 1303 Pendleton St Se, Atlanta, GA 30316-3801 Ph: (916) 765-9287 | Angela Dixon, LCSW 309 Plantation Walk, Carrollton, GA 30117-6219 Ph: (916) 765-9287 |
Catherine Elizabeth Warren, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 215 Bradley St, Carrollton, GA 30117 Phone: 770-832-9140 | |
Jill B Miles, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 153 Independence Dr, Carrollton, GA 30116 Phone: 770-836-6678 Fax: 770-830-2266 | |
Mrs. Deborah Susanne Willis, CSW007966 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 215 Bradley St, Carrollton, GA 30117 Phone: 770-832-9140 Fax: 770-832-3046 | |
Angela Lester, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 523 Dixie St, Carrollton, GA 30117 Phone: 770-838-8527 | |
Lauri Shedd, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1325 S Park St # 1003, Carrollton, GA 30117 Phone: 314-882-0282 Fax: 470-870-8554 | |
Justin Mckinney, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1621 Bankhead Hwy, Carrollton, GA 30116 Phone: 770-680-3443 | |
Traci S Martin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 523 Dixie St, Carrollton, GA 30117 Phone: 770-812-8245 Fax: 770-812-8814 |