Healthcare Provider Details

I. General information

NPI: 1013338540
Provider Name (Legal Business Name): ERICKA K. DIXON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/31/2013
Last Update Date: 12/31/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 STATE STREET SUITE 5
SANTA BARBARA CA
93101
US

IV. Provider business mailing address

1515 STATE STREET SUITE 5
SANTA BARBARA CA
93101
US

V. Phone/Fax

Practice location:
  • Phone: 805-403-7225
  • Fax: 805-965-1752
Mailing address:
  • Phone: 805-403-7225
  • Fax: 805-965-1752

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW 28685
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: