Active NPI
Dilena Perez- Dilan, LCSW
- Clinical Social Worker
- Hammonton, NJ
National Provider Identifier
1598355018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05963900
- Practice address
- 649 White Horse Pike Ste 4
Hammonton, NJ 08037-9649 - Phone
- (609) 666-5205
- NPI assigned
- Jan 19, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05963900 | NJ | Primary |
Addresses
Primary practice location
649 White Horse Pike Ste 4
Hammonton, NJ 08037-9649
Mailing address
120 Riverview Dr
New Castle, DE 19720-2732
Phone (856) 296-1704
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 |
|---|---|---|---|
| 44SC05963900 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ni-Kahchi Pure | Current | Accepting new patients | |
| Holistic by Nature LLC | Current | Accepting new patients |
Locations
649 White Horse Pike
Ste 4
Hammonton, NJ 08037
Phone (609) 666-4861
Organizations & group practices 2
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.
-
- Professional Counselor
- Hammonton, NJ
- NPI 1427600857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611014400000",
"number": "1598355018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 RIVERVIEW DR",
"city": "NEW CASTLE",
"state": "DE",
"postal_code": "197202732",
"telephone_number": "856-296-1704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "649 WHITE HORSE PIKE STE 4",
"city": "HAMMONTON",
"state": "NJ",
"postal_code": "080379649",
"telephone_number": "609-666-5205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ- DILAN",
"first_name": "DILENA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-19",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05963900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hammonton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.