Individual provider Active NPI

Christopher L. Dillon, LCSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1326295049
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C014338 Issued in NC
Practice address
5102A Oak Park Rd
Raleigh, NC 27612-3027
Phone
(910) 372-5008
NPI assigned
Aug 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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 C014338 NC Primary

Addresses

Primary practice location

5102A Oak Park Rd
Raleigh, NC 27612-3027

Mailing address

5102A Oak Park Rd
Raleigh, NC 27612-3027
Phone (910) 372-5008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 13, 2024 through Nov 13, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C014338NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Port City Psychotherapy PLLC Clinical CurrentSince May 1, 2022 Accepting new patients

Locations

4701 Wrightsville Ave
Ste 3-206
Wilmington, NC 28403
Phone (910) 372-5008

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": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1326295049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5102A OAK PARK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123027",
            "telephone_number": "910-372-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5102A OAK PARK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123027",
            "telephone_number": "910-372-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "CHRISTOPHER",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-25",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.