Dylan Kidd, is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. He graduated from healthcare school in 2021 and has 5 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is
470 E 3rd St, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at
(213) 544-2481.
Dylan Kidd is licensed to practice in California (license number 128260) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1740894997.
Healthcare Provider's Profile
| Full Name | Dylan Kidd |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 5 Years |
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| Location | 470 E 3rd St, Los Angeles, California |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dylan Kidd graduated from medical school in 2021
NPI Data:
- NPI Number: 1740894997
- Provider Enumeration Date: 09/04/2020
- Last Update Date: 02/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 9931690864
- Enrollment ID: I20251118003523
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 |
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| 101YM0800X | Counselor - Mental Health | 106660 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 106660 (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 128260 (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
enrolled with medicare and thus, if eligible, can 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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