Dylan Kieran Whitlow, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

109366 Issued in CA

Practice address

10621 Schirra Ave
Mather, CA 95655-4121

Phone

(916) 213-5733

NPI assigned

Feb 14, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• California Health Collaborative

  • Case Manager/Care Coordinator
  • Sacramento, CA
  • NPI 1982033197

  Clinical

  NPD (past)

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1760948798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3913 OAK VILLA CIR",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956082161",
            "telephone_number": "916-213-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10621 SCHIRRA AVE",
            "city": "MATHER",
            "state": "CA",
            "postal_code": "956554121",
            "telephone_number": "916-213-5733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2012 H St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958113100",
            "country_code": "US",
            "telephone_number": "916-273-1127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITLOW",
        "first_name": "DYLAN",
        "middle_name": "KIERAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "CA",
            "license": "174H00000X",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "109366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL WORKER",
            "identifier": "17690948798",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH EDUCATOR",
            "identifier": "174H00000X",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dwhitlow@nationsfinest.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10621 Schirra Ave",
            "city": "Mather",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956554121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tanner Joseph Weaver, PHARM.D.
• Emily Weibel
• Barbara Weiser, M.D.
• Steven Wentworth
• Terri Wheeler
• James Eric Wiedeman, M.D.
• Dorianne Rose Wiest, M.P.T.
• Blaine Wilson, LCSW, MED
• Michael Todd Wilson
• Aliza Pham Wingo, MD

• Clinical Social Worker in Mather, CA
• Providers in Mather, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.