Jenna Leah Dill, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-09032 Issued in NM

Practice address

4901 Lang Ave NE Ste 203
Albuquerque, NM 87109-4597

Phone

(505) 982-3113

NPI assigned

Aug 31, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1518190099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10924 ARGUELLO TRL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871232681",
            "telephone_number": "505-363-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 LANG AVE NE STE 203",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094597",
            "telephone_number": "505-982-3113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 3rd St NW",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871021403",
            "country_code": "US",
            "telephone_number": "505-764-8231 x208",
            "fax_number": "505-248-1351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILL",
        "first_name": "JENNA",
        "middle_name": "LEAH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-31",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-09032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert E Dikeman, M.D.
• Rodrigue Dikuba, DDS
• Paige Marie Dildy, LMSW
• Trudy Dileo, CRNA
• Angela Gay Dill
• Michael Dillander
• Natalie Dillar
• Elisa Brianne Dillard, LMHC
• Elizabeth A. Dillard, MS, OTR, L
• Laurel Ann Dillingham, R.N.

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.