| John Dixon, LCSW | |
|
430 New Park Ave, West Hartford, CT 06110-1142 | |
| (475) 271-7944 | |
| Not Available |
| Full Name | John Dixon |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 430 New Park Ave, West Hartford, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023256930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 004431 (Connecticut) | Primary |
| Entity Name | Behavioral Health Center For Counseling & Learning Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578788766 PECOS PAC ID: 8729313135 Enrollment ID: O20190708001566 |
| Mailing Address | Practice Location Address |
|---|---|
| John Dixon, LCSW 56 Elm Dr, Newtown, CT 06470-2048 Ph: (860) 428-5115 | John Dixon, LCSW 430 New Park Ave, West Hartford, CT 06110-1142 Ph: (475) 271-7944 |
Mr. David Lawrence-hawley, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 61 S Main St Ste 214, West Hartford, CT 06107 Phone: 860-969-2399 Fax: 860-215-3016 | |
Mary Dineen Elovich, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 259 N Quaker Ln, West Hartford, CT 06119 Phone: 860-463-1192 | |
Mrs. Dawn Mcvey Cohen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 41 N Main St, Suite 303, West Hartford, CT 06107 Phone: 860-838-4735 | |
Mr. Michael George Lauretti Jr., Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 125 Lasalle Rd Ste 300, West Hartford, CT 06107 Phone: 860-986-6626 | |
Mr. Gary Steven Gianini, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12 S Main St, West Hartford, CT 06107 Phone: 860-233-0548 Fax: 860-236-0253 | |
Ms. Kathleen Johndrow, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 41 N Main St, West Hartford, CT 06107 Phone: 860-838-4752 |