Active NPI
Dylan Newman
- Clinical Social Worker
- Sacramento, CA
National Provider Identifier
1326439472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 120665
- Practice address
- 1400 X St
Sacramento, CA 95818-2200 - Phone
- (916) 738-7400
- Fax
- (916) 738-7426
- NPI assigned
- Feb 11, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Social Worker | 1041C0700X | 120665 | CA | Primary |
Addresses
Primary practice location
1400 X St
Sacramento, CA 95818-2200
Mailing address
1400 X St
Sacramento, CA 95818-2200
Phone (916) 738-7400
Other practice location 1
3737 Marconi Ave
Sacramento, CA 95821
Phone (916) 480-1801
Other practice location 2
584 Kentucky Ave
Woodland, CA 95695-2779
Phone (530) 661-3213
Other practice location 3
3810 Rosin Ct Ste 170
Sacramento, CA 95834-1658
Phone (916) 567-4222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709856000000",
"number": "1326439472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 X ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958182200",
"telephone_number": "916-738-7400",
"fax_number": "916-738-7426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 X ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958182200",
"telephone_number": "916-738-7400",
"fax_number": "916-738-7426"
}
],
"practiceLocations": [
{
"address_1": "3737 Marconi Ave",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "95821",
"country_code": "US",
"telephone_number": "916-480-1801",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "584 Kentucky Ave",
"address_purpose": "LOCATION",
"city": "Woodland",
"state": "CA",
"postal_code": "956952779",
"country_code": "US",
"telephone_number": "530-661-3213",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3810 Rosin Ct Ste 170",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958341658",
"country_code": "US",
"telephone_number": "916-567-4222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEWMAN",
"first_name": "DYLAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-11",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "120665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.