Individual provider Active NPI

Dillon James Cross, LCSW

  • Clinical Social Worker
  • Riverside, CA
National Provider Identifier
1043934649
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
127707 Issued in CA
Practice address
4344 Latham St Ste 110
Riverside, CA 92501-1773
Phone
(951) 265-7610
NPI assigned
Sep 28, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 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 127707 CA Primary

Addresses

Primary practice location

4344 Latham St Ste 110
Riverside, CA 92501-1773

Mailing address

24908 Springbrook Way
Menifee, CA 92584-7543
Phone (951) 261-8392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250217001563 CA Practitioner - Clinical Social Worker 3779013065 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
127707CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Raincross Counseling Services, LLC CurrentSince Feb 12, 2025 Accepting new patients

Locations

4344 Latham St
Ste 110
Riverside, CA 92501
Phone (951) 742-0462

Organizations & group practices 1

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": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1043934649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24908 SPRINGBROOK WAY",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925847543",
            "telephone_number": "951-261-8392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4344 LATHAM ST STE 110",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925011773",
            "telephone_number": "951-265-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "DILLON",
        "middle_name": "JAMES",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-28",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "127707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.