JOHN DIXON (LCSW) – Clinical Social Worker, NPI 1023256930

JOHN DIXON (LCSW) is a healthcare provider. based in West hartford, Connecticut. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 004431 (CT). The NPI Number for JOHN DIXON (LCSW) is 1023256930

Main info

Male
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
JOHN DIXON (LCSW)
NPI
1023256930
Phone
(475) 271-7944
Address
430 NEW PARK AVE
Enumeration Date
30 January 2009
Last Update Date
12 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2037129998
Graduation Year
1992 (34 years ago)
PAC ID
7416986781
Group Practice PAC ID
8729313135
Professional Enrollment ID
I20090622000411
Address ID
CT064844669SH1000XAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

2,151 CLINICAL SOCIAL WORKER in CT

Provider Addresses for JOHN DIXON (LCSW)

  • 430 NEW PARK AVE

    WEST HARTFORD, CT 061101142

    Phone: (475) 271-7944

    Type: Location

  • 5 Science Park, 5, Winchester Avenue, Winchester Repeating Arms Historic District, New Haven, New Haven County, Connecticut, 06511, United States

    NEW HAVEN, CT 065111966

    Phone: (203) 777-8648

    Type: Location

  • 56, Elm Drive, Newtown, Western Connecticut Planning Region, Connecticut, 06470, United States

    NEWTOWN, CT 064702048

    Phone: (860) 428-5115

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090622000411IClinical Social WorkerCTTBD
I20221201000942IClinical Social WorkerMATBD
I20221201001436IClinical Social WorkerRITBD
I20260126001793IClinical Social WorkerNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06110)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729313135View full group profile
NameSpecialtyState
Clinical Social WorkerCT
Marriage And Family TherapistCT
-CT
Clinical Social WorkerNY
Mental Health CounselorCT
Mental Health CounselorCT
Mental Health CounselorCT
Clinical Social WorkerCT
Clinical PsychologistCT
Mental Health CounselorCT

Reviews

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Frequently asked questions

Does JOHN DIXON (LCSW) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JOHN DIXON (LCSW) uses 1023256930.
Is JOHN DIXON (LCSW) still practicing?
JOHN DIXON (LCSW) is currently listed as active in the public NPI registry.
What is JOHN DIXON (LCSW)'s primary classification?
Clinical Social Worker is the headline specialty for JOHN DIXON (LCSW) here. Clinical services aligned with this taxonomy classification.
Does JOHN DIXON (LCSW) list a practice location?
Patients near West Hartford, Connecticut may find JOHN DIXON (LCSW) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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