Mary A Dillman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904006924 Issued in VA

Practice address

966 W Main St Ste C
Abingdon, VA 24210-2483

Phone

(276) 791-6870

NPI assigned

Nov 5, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, TN2 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

Merit-based Incentive Payment System (MIPS)

Final score

91.37 of 100Reported as group

Quality

80.43

Improvement activities

40

Cost

73.78

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Supportive Care of Virginia LLC

  • Clinical Psychologist
  • Colonial Heights, VA
  • NPI 1801485354

  VA

  Medicare reassignment NPD
• Mosheim Recovery Associates

  • Family Medicine Physician
  • Mosheim, TN
  • NPI 1003562372

  TN

  Medicare reassignment NPD
• Mosheim Recovery Associates Inc

  • Multi-Specialty Clinic/Center
  • Mosheim, TN
  • NPI 1679168421
  NPD
• Keystone Marion, LLC

  • Psychiatric Residential Treatment Facility
  • Marion, VA
  • NPI 1275732695
  NPD (past)
• Keystone Marion, LLC

  • Psychiatric Residential Treatment Facility
  • Marion, VA
  • NPI 1386663516
  NPD (past)

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1306090287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 W MAIN ST STE C",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102483",
            "telephone_number": "276-791-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 W MAIN ST STE C",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102483",
            "telephone_number": "276-791-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLMAN",
        "first_name": "MARY",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006924",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5069",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Department of Veterans Affairs
• Jackson Derrick, DMD
• Anthony Thomas Desalvo, M.D.
• Caitlyn Wessels Despins, CCC-SLP
• James Byron Dick, PT
• Emily Dillow, LPC
• Doctors Office LLC
• Matthew Carlton Dorn, D.O.
• Wesley Dorton
• Michael Dean Doty, D.D.S.

• All providers in Abingdon, VA
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.

Verify at the official NPI Registry.