Active NPI
Dolores M Dillon, LCSW
- Marriage & Family Therapist
- Staten Island, NY
National Provider Identifier
1376681981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- R051632-1
- Practice address
- 2291 Victory Blvd
Staten Island, NY 10314-6625 - Phone
- (718) 477-2480
- Fax
- (718) 477-2480
- NPI assigned
- Feb 3, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R051632-1 | NY | |
| Marriage & Family Therapist | 106H00000X | R051632-1 | NY | Primary |
Addresses
Primary practice location
2291 Victory Blvd
Staten Island, NY 10314-6625
Mailing address
2291 Victory Blvd
Staten Island, NY 10314-6625
Phone (718) 477-2480
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R051632-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1376681981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2291 VICTORY BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103146625",
"telephone_number": "718-477-2480",
"fax_number": "718-477-2480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2291 VICTORY BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103146625",
"telephone_number": "718-477-2480",
"fax_number": "718-477-2480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLON",
"first_name": "DOLORES",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-03",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R051632-1",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "R051632-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.