Emily Dillon, Licensed Clinical Social Worker, Wildflower Mental Healt

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

EMILY DILLON, LICENSED CLINICAL SOCIAL WORKER, WILDFLOWER MENTAL HEALT

Doing business as

Wildflower Mental Health & Wellness

Practice address

17020 Chatsworth St # 1059
Granada Hills, CA 91344-5844

Phone

(818) 213-1212

NPI assigned

Mar 7, 2023

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emily Dillon, LCSW, PPSCNPI 1881094399

Title

President/Ceo

Phone

(818) 454-3396

Specialties & licenses 2

Addresses

Other names 1

• Wildflower Mental Health & Wellness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emily Davis Dillon, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
  • NPI 1881094399
  NPD Authorized official

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1578263653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17020 CHATSWORTH ST # 1059",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445844",
            "telephone_number": "818-213-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17020 CHATSWORTH ST # 1059",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445844",
            "telephone_number": "818-213-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY DILLON, LICENSED CLINICAL SOCIAL WORKER, WILDFLOWER MENTAL HEALT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-454-3396",
        "authorized_official_credential": "LCSW, PPSC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wildflower Mental Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adolescent and Children Mental Health Clinic/Center in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Adolescent and Children Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.