MRS. VIRGINIA ANN NIXON (NPI# 1831133792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831133792 |
| Entity Type | Individual |
| Full Name | MRS. VIRGINIA ANN NIXON |
| Credential | LCSW |
| Practice Address |
3534 Brooklyn Ave Fort Wayne IN 46809-1361 |
| Practice Telephone | 2604785232 |
| Practice Fax Number | 2604785125 |
| Mailing Telephone | 2604785232 |
| Mailing Fax Number | 2604785125 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
34002159A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VALUE OPTIONS | 182013 | 01 | |
| ANTHEM BLUE CROSS | 000000231169 | 01 | |
| AETNA | 0004353200 | 01 |
| Street Address |
3534 BROOKLYN AVE |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46809-1361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659362200 | Herbert K.j. Acker | Family Medicine | 3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 | 2005-11-02 |
| 1659917771 | Lyndi Davis | Nurse Practitioner | 3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 | 2019-11-24 |
| 1033752001 | Marion Melcher | Physical Therapist | 3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 | 2019-10-23 |
| 1689104242 | Andrew Wieging | Family Medicine | 3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 | 2017-06-15 |
| 1871049981 | Mark Sexton | Physical Therapist | 3534 Brooklyn Ave, Fort Wayne, IN 46809 | 2016-08-29 |
| 1710275664 | Lutheran Medical Group LLC | Durable Medical Equipment & Medical Supplies | 3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 | 2011-07-13 |
| 1992090971 | Christopher A. Baltes | Family Medicine | 3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 | 2011-06-17 |
| 1982993309 | Shawn P. Lazoff | Family Medicine | 3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 | 2011-04-06 |
| 1578876785 | David S. Mohan | Family Medicine | 3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 | 2010-07-16 |
| 1902068828 | Tara Marie Meyer | Physical Therapist | 3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 | 2008-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497038574 | Zachary L Roberts | Pharmacist | 12279 Bluffton Road, Fort Wayne, IN 46809 | 2011-09-24 |
| 1679660278 | Kool Smiles In Ft. Wayne, PC | Dentist | 1852 Bluffton Road, Ft. Wayne, IN 46809 | 2006-10-06 |
| 1477512564 | Brian Thomas Raypole | Specialist/Technologist | 5050 N. Clinton Street, Fort Wayne, IN 46809 | 2006-03-20 |
| 1669016895 | Trinity Health Pharmacy Services, LLC | Pharmacy | 12279 Bluffton Road, Fort Wayne, IN 46809 | 2019-10-31 |
| 1841573318 | Vicki Eileen Caccamo | Pharmacist | 6730 Bluffton Rd, Fort Wayne, IN 46809 | 2011-09-21 |
| 1265588404 | May R. Dahman | Specialist | 1733 Kinsmoor Ave, Fort Wayne, IN 46809-1025 | 2007-01-27 |
| 1134746209 | Laurel Schroeder | Occupational Therapist | 1726 Bluffton Rd, Fort Wayne, IN 46809-1305 | 2020-07-06 |
| 1730793605 | Cody Craig | Physical Therapist | 1726 Bluffton Rd, Fort Wayne, IN 46809-1305 | 2020-09-08 |
| 1952497166 | Ajay Joshi | Dentist | 1852 Bluffton Rd, Fort Wayne, IN 46809-1306 | 2006-10-05 |
| 1255855011 | Sahar Hameed | Dentist | 1852 Bluffton Rd, Fort Wayne, IN 46809-1306 | 2017-08-02 |
| Find all providers in zip 46809 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154933299 | Kristina Lynn Devors | Social Worker | 7116 Chippenham Dr, Fort Wayne, IN 46818-0033 | 2020-08-19 |
| 1023636909 | Gary Scott Ralya | Social Worker | 2121 E State Blvd, Fort Wayne, IN 46805-4640 | 2020-07-08 |
| 1003444985 | Courageous Healing Inc | Social Worker | 2013 S Anthony Blvd, Fort Wayne, IN 46803-3609 | 2020-03-27 |
| 1164060653 | Brosh Inc | Social Worker | 4820 Oak Knob Run, Fort Wayne, IN 46845-8939 | 2019-12-15 |
| 1740780204 | Jay Bastian LLC | Social Worker | 9910 Dupont Circle Dr. Suite 140, Fort Wayne, IN 46825-1610 | 2018-02-20 |
| 1790291755 | Resolutions Counseling LLC | Social Worker | 13207 Hammerhill Way, Fort Wayne, IN 46845-2351 | 2017-12-28 |
| 1295256907 | Kimberly Ann Bailey | Social Worker | 5310 Merchandise Dr., Fort Wayne, IN 46814 | 2017-07-03 |
| 1306377304 | Charla Leman | Social Worker | 8011 Basswood Pl, Fort Wayne, IN 46835-4752 | 2017-03-22 |
| 1659826055 | Frank Deisler | Social Worker | 5543 S Wayne Ave, Fort Wayne, IN 46807-3128 | 2016-08-16 |
| 1013376458 | Rikki Lynn Treesh | Social Worker | 4918 Canterbury Dr, Fort Wayne, IN 46835-4102 | 2016-02-13 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46809 |
Please comment or provide details below to improve the information on MRS. VIRGINIA ANN NIXON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.