Active NPI
Jessica Lynn Dillon, LCSWR
- Clinical Social Worker
- Saugerties, NY
National Provider Identifier
1245480698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 079514
- Practice address
- 32 Partition St Ste 210
Saugerties, NY 12477-1313 - Phone
- (518) 265-5153
- NPI assigned
- Sep 23, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 079514 | NY | Primary |
Addresses
Primary practice location
32 Partition St Ste 210
Saugerties, NY 12477-1313
Mailing address
6 Albright PL
Delmar, NY 12054-1025
Phone (518) 265-5153
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255360046 | Other | NY | NPI |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
6 Albright PL
Delmar, NY 12054-1025
Phone (518) 265-5153
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120518000392 | NY | Practitioner - Clinical Social Worker | 8628231263 | Practice locations: Delmar, NY |
| I20210122001187 | MA | Practitioner - Clinical Social Worker | 8628231263 | Practice locations: Lee, MA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 079514 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1245480698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 ALBRIGHT PL",
"city": "DELMAR",
"state": "NY",
"postal_code": "120541025",
"telephone_number": "518-265-5153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 PARTITION ST STE 210",
"city": "SAUGERTIES",
"state": "NY",
"postal_code": "124771313",
"telephone_number": "518-265-5153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLON",
"first_name": "JESSICA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LCSWR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-23",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "079514",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1255360046",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saugerties, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.