Provider Demographics
NPI:1861569980
Name:DIXON, HELEN P
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:P
Last Name:DIXON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11801 ROCKVILLE PIKE
Mailing Address - Street 2:CONDO # 606
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-2734
Mailing Address - Country:US
Mailing Address - Phone:301-984-8869
Mailing Address - Fax:
Practice Address - Street 1:5900 PRINCESS GARDEN PKWY
Practice Address - Street 2:SUITE #300
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2925
Practice Address - Country:US
Practice Address - Phone:301-588-8881
Practice Address - Fax:301-577-8863
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD016371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD01637Medicaid
MD01637Medicaid