Individual provider Active NPI

Jessica Lynn Dillon, LCSWR

  • Clinical Social Worker
  • Saugerties, NY
National Provider Identifier
1245480698
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
079514 Issued in NY
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

Updated by the provider on Jan 18, 2024

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 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

IdentifierTypeStateIssuer
1255360046OtherNYNPI

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, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
079514NYMDClinical 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

Verify at the official NPI Registry.