IndividualActive
Stephanie Dixon, LCSW, LCAS
NPI 1619204146 · Clinical Social Worker · Champaign, IL
Provider details
- NPI number
- 1619204146
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW, LCAS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 149024669 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1802 S Mattis Ave
Champaign, IL 61821-5923
Phone: (217) 365-2855
Fax: (217) 365-2856
Street-level locationGet directions
Mailing address
611 W Park St
Urbana, IL 61801-2501
Additional practice locations (1)
- 232 Hydrangea Cir NwConcord, NC 28027-7240Phone: (980) 585-9052
Registry dates
- Enumerated
- 2009-11-04
- Last updated
- 2026-05-14
- Certified
- 2026-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.