Individual provider Active NPI

Kristin Dillane, LCSW

  • Clinical Social Worker
  • Sacramento, CA
National Provider Identifier
1003442716
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
86803 Issued in CA
Practice address
720 14TH St # Ca117
Sacramento, CA 95814-1905
Phone
(619) 800-1734
NPI assigned
Mar 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 86803 CA Primary

Addresses

Primary practice location

720 14TH St # Ca117
Sacramento, CA 95814-1905

Mailing address

720 14TH St # Ca117
Sacramento, CA 95814-1905
Phone (619) 800-1734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
86803CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kristin Dillane, Licensed Clinical Social Worker, P.C. Clinical Current Accepting new patients
Kristin Dillane, Licensed Clinical Social Worker, P.C. Clinical CurrentSince Jul 9, 2025 Accepting new patients

Locations

3252 Holiday Ct
Ste 102
La Jolla, CA 92037
Phone (619) 887-4068

720 14th St
#117
Sacramento, CA 95814
Phone (619) 800-1734

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1003442716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 14TH ST # CA117",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958141905",
            "telephone_number": "619-800-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 14TH ST # CA117",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958141905",
            "telephone_number": "619-800-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLANE",
        "first_name": "KRISTIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-14",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "86803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.