Individual provider Active NPI

Matthew Christopher Dillon, LCSW

  • Clinical Social Worker
  • Palm Springs, CA
National Provider Identifier
1780925644
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW99867 Issued in CA
Practice address
3001 E Tahquitz Canyon Way Ste 205
Palm Springs, CA 92262-6901
Phone
(760) 969-6562
Fax
(760) 537-2942
NPI assigned
Mar 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW99867 CA Primary

Addresses

Primary practice location

3001 E Tahquitz Canyon Way Ste 205
Palm Springs, CA 92262-6901

Mailing address

PO Box 4755
Palm Springs, CA 92263-4755
Phone (760) 766-5828

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

LicenseStateTypeSpecialty
LCSW99867CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Medical Group, Inc. PastSince Mar 21, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: matthew.dillon.p2@direct.mydohc.nextgenshare.com
  • Direct secure messaging: matthew.dillon.p5@direct.mydohc.nextgenshare.com
  • Direct secure messaging: matthew.dillon.1@30520.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1780925644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4755",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922634755",
            "telephone_number": "760-766-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 E TAHQUITZ CANYON WAY STE 205",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626901",
            "telephone_number": "760-969-6562",
            "fax_number": "760-537-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "MATTHEW",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-01",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW99867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.