Active NPI
Megan Dittmann
- Clinical Social Worker
- Nevada City, CA
National Provider Identifier
1982956306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW79844
- Practice address
- 13500 Summit Ridge Dr
Nevada City, CA 95959-9540 - Phone
- (510) 926-2292
- NPI assigned
- Oct 9, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW79844 | CA | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
13500 Summit Ridge Dr
Nevada City, CA 95959-9540
Mailing address
13500 Summit Ridge Dr
Nevada City, CA 95959-9540
Phone (510) 926-2292
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221018000377 | CA | Practitioner - Clinical Social Worker | 0244606101 | Practice locations: Nevada City, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW79844 | CA | MD | Clinical Social Worker |
| 79844 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1982956306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13500 SUMMIT RIDGE DR",
"city": "NEVADA CITY",
"state": "CA",
"postal_code": "959599540",
"telephone_number": "510-926-2292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13500 SUMMIT RIDGE DR",
"city": "NEVADA CITY",
"state": "CA",
"postal_code": "959599540",
"telephone_number": "510-926-2292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DITTMANN",
"first_name": "MEGAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-09",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW79844",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nevada City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.