Active NPI
Karen Dillon, L.C.S.W.-R.
- Clinical Social Worker
- North Tonawanda, NY
National Provider Identifier
1770868556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 59587
- Practice address
- 1500 Vanderbilt St
North Tonawanda, NY 14120 - Phone
- (716) 807-3706
- NPI assigned
- Oct 12, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 59587 | NY | Primary |
Addresses
Primary practice location
1500 Vanderbilt St
North Tonawanda, NY 14120
Mailing address
1500 Vanderbilt St
North Tonawanda, NY 14120
Phone (716) 807-3706
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01377162 | Medicaid | NY |
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 |
|---|---|---|---|
| 59587 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318377600000",
"number": "1770868556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 VANDERBILT ST",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "14120",
"telephone_number": "716-807-3706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 VANDERBILT ST",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "14120",
"telephone_number": "716-807-3706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLON",
"first_name": "KAREN",
"name_prefix": "Ms.",
"credential": "L.C.S.W.-R.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-12",
"last_updated": "2011-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "59587",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01377162",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Tonawanda, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.