Provider Demographics
NPI:1346821097
Name:DIXON, CHELSEY (LCSW)
Entity Type:Individual
Prefix:
First Name:CHELSEY
Middle Name:
Last Name:DIXON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8304 WALNUT GROVE RD
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-6869
Mailing Address - Country:US
Mailing Address - Phone:901-501-7700
Mailing Address - Fax:949-404-6692
Practice Address - Street 1:8304 WALNUT GROVE RD
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-6869
Practice Address - Country:US
Practice Address - Phone:901-501-7700
Practice Address - Fax:949-404-6692
Is Sole Proprietor?:No
Enumeration Date:2021-04-15
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW0000012023104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker