Provider Demographics
NPI:1346821097
Name:DIXON, CHELSEY (LCSW)
Entity type:Individual
Prefix:
First Name:CHELSEY
Middle Name:
Last Name:DIXON
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1355 LYNNFIELD RD STE 275
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-5801
Mailing Address - Country:US
Mailing Address - Phone:901-496-3626
Mailing Address - Fax:
Practice Address - Street 1:1355 LYNNFIELD RD STE 275
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-5801
Practice Address - Country:US
Practice Address - Phone:901-496-3626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-15
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSC108951041C0700X
TNLSW00000075871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical