Dylan Kidd, is a
Social Worker - Clinical based in Los Angeles, California. Dylan Kidd is licensed to practice in California (license number 106660) and his current practice location is
470 E 3rd St, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(213) 544-2481.
NPI number for Dylan Kidd is 1740894997 and his current mailing address is 470 E 3rd St, Los Angeles, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1740894997.
Healthcare Provider's Profile
Full Name | Dylan Kidd |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 470 E 3rd St, Los Angeles, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1740894997
- Provider Enumeration Date: 09/04/2020
- Last Update Date: 06/30/2023
Medical Identifiers
Medical identifiers for Dylan Kidd such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740894997 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 106660 (California) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 106660 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dylan Kidd is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dylan Kidd, 470 E 3rd St, Los Angeles, CA 90013-1629 Ph: (213) 544-2481 | Dylan Kidd, 470 E 3rd St, Los Angeles, CA 90013-1629 Ph: (213) 544-2481 |
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