Christine E Dixon | Roxbury, MA • PECOS Search

Christine E Dixon

Social Worker

Behavioral Health & Social Service Providers

550 Dudley St, Roxbury, MA 02119-2770

(617) 442-1880 (617) 957-1886

PECOS Enrollment

Based on the most recent information from CMS, provider Christine E Dixon does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 12:07 PM.

Profile Details

Provider ID
1245708684
Provider Type
Individual
Full Name
Dixon, Christine E
Credential
LICSW

Gender
Female
Sole Proprietor
No
Enumeration Date
11/4/2018
Last Updated
11/4/2018

Contact Information

Practice Location

550 Dudley St, Roxbury, MA 02119-2770

Unlisted Fax

Mailing Location

17 Archdale Rd, Roslindale, MA 02131-1103

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 114379 Massachusetts