Active NPI
Matthew Christopher Dillon, LCSW
- Clinical Social Worker
- Palm Springs, CA
National Provider Identifier
1780925644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW99867
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW99867 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Medical Group, Inc. | Past | Accepting new patients |
Interoperability endpoints
- matthew.dillon.p2@direct.mydohc.nextgenshare.com
- matthew.dillon.p5@direct.mydohc.nextgenshare.com
- 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.
-
- Family Medicine Physician
- Palm Springs, CA
- NPI 1114918612
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.