Provider Demographics
NPI:1952405532
Name:DIXON, JAMIE EDWARDS (LICSW, LCSW-C)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:EDWARDS
Last Name:DIXON
Suffix:
Gender:F
Credentials:LICSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13110 FALLING WATER CT
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-3270
Mailing Address - Country:US
Mailing Address - Phone:202-491-3298
Mailing Address - Fax:
Practice Address - Street 1:915 RHODE ISLAND AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-4153
Practice Address - Country:US
Practice Address - Phone:202-403-2801
Practice Address - Fax:202-483-4560
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2014-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD146021041C0700X
DCLC3034761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical