COURTNEY LYNN DIX (LCSW) – Clinical Social Worker, NPI 1194153031

COURTNEY LYNN DIX (LCSW) is a healthcare provider. based in Vine grove, Kentucky. specializing in Clinical Social Worker. They hold the professional credentials LCSW. They hold a License No. 252268 (KY). The NPI Number for COURTNEY LYNN DIX (LCSW) is 1194153031

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
COURTNEY LYNN DIX (LCSW)
NPI
1194153031
Phone
(270) 668-9029
Address
470 VESSELS RD
Enumeration Date
30 October 2013
Last Update Date
3 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2704223971
Graduation Year
2012 (14 years ago)
PAC ID
4284912379
Group Practice PAC ID
9830097815
Professional Enrollment ID
I20161024002669
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for COURTNEY LYNN DIX (LCSW)

  • 470 VESSELS RD

    VINE GROVE, KY 401756016

    Phone: (270) 668-9029

    Type: Mailing

  • 2025 BYPASS RD

    BRANDENBURG, KY 401081605

    Phone: (270) 422-3971

    Type: Location

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: 2016-10-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20161024002669IClinical Social WorkerKYTBD

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 40175)

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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: 9830097815View full group profile
NameSpecialtyState
Mental Health CounselorKY
Mental Health CounselorKY
Mental Health CounselorKY
P S Y C H I A T R YKY
-KY
Nurse PractitionerKY
P S Y C H I A T R YKY
Mental Health CounselorKY
-KY
Mental Health CounselorKY

Reviews

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Frequently asked questions

How is COURTNEY LYNN DIX (LCSW) identified in CMS data?
CMS-hosted NPPES data lists COURTNEY LYNN DIX (LCSW) with NPI 1194153031.
Does CMS list COURTNEY LYNN DIX (LCSW) as active?
Yes — COURTNEY LYNN DIX (LCSW) is active in the NPI listing used on this page.
What is COURTNEY LYNN DIX (LCSW)'s primary classification?
Clinical Social Worker is the headline specialty for COURTNEY LYNN DIX (LCSW) here. Clinical services aligned with this taxonomy classification.
What address line appears for COURTNEY LYNN DIX (LCSW)?
COURTNEY LYNN DIX (LCSW)'s geographic hint is Vine Grove, Kentucky in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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