MRS. JILL KATHLEEN DODGE LCSW
NPI 1043345697
Social Worker in San Diego, CA

Q: What is Jill Dodge's NPI number?

The NPI number for Jill Dodge is 1043345697. It was assigned to this individual provider in the NPPES registry on February 23, 2007.

Q: What is Jill Dodge's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Jill Dodge was last updated on January 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 23, 2007PECOS EnrolledAccepts Medicare Assignment

3990 OLD TOWN AVE, STE 209A, SAN DIEGO, CA 92110(619) 615-5065(619) 294-9181 Get Directions Write a Review

NPPES record last updated: January 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Jill Kathleen Dodge Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JILL KATHLEEN DODGE LCSW (NPI 1043345697) is an individual social worker in San Diego, California, licensed in California (LCS5760) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1971).

NPPES Registry Identity

NPI1043345697

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMRS. JILL KATHLEEN DODGECredential: LCSW

Location Address3990 OLD TOWN AVE, STE 209ASan Diego, CA 92110-2967

Mailing Address3990 Old Town Ave, Ste 209aSan Diego, CA 92110 · (619) 615-5065 · Fax (619) 294-9181

Phone(619) 615-5065

Fax(619) 294-9181

Sole ProprietorYes

Medical School CMSOtherGraduated 1971

Enumeration DateFebruary 23, 2007

Last NPPES UpdateJanuary 26, 2018

✔ NPI 1043345697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in CA · LCS5760

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

3990 OLD TOWN AVE, San Diego, CA 92110

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jill Kathleen Dodge Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284529215

PECOS Enrollment IDI20040218000951

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARY MUDD QUINN LMFT

Marriage & Family Therapist

3990 OLD TOWN AVE, SUITE 209A
SAN DIEGO, CA 92110

San Diego County (619) 294-9180

JAMES C DILLARD DR CHIROPRACTIC CORPORATION

Chiropractor

3990 OLD TOWN AVE, STE A-105
SAN DIEGO, CA 92110

San Diego County (619) 260-8580

HEATHER JEAN SERAFIN ACSW

Social Worker (Clinical)

3990 OLD TOWN AVE
SAN DIEGO, CA 92110

San Diego County (619) 278-2400

ELIZABETH ANN HEWES

Counselor (Mental Health)

3990 OLD TOWN AVE, C107
SAN DIEGO, CA 92110

San Diego County (619) 688-1804

MS. PATRIZIA I SPIGA MFT

Marriage & Family Therapist

3990 OLD TOWN AVE, SUITE A207
SAN DIEGO, CA 92110

San Diego County (619) 255-0042

JAY JANKOWSKY

Counselor (Mental Health)

3990 OLD TOWN AVE
SAN DIEGO, CA 92110

San Diego County (619) 688-1804

MISS ALEXANDRA SHAW LAC

Acupuncturist

3990 OLD TOWN AVE, STE B107
SAN DIEGO, CA 92110

San Diego County (713) 870-7157

DR. SAURABH GUPTA PH.D.

Clinical Neuropsychologist

3990 OLD TOWN AVE, STE. A-208
SAN DIEGO, CA 92110

San Diego County (619) 537-9345

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jill Dodge's NPI number?

The NPI number for Jill Dodge is 1043345697. It was assigned to this individual provider in the NPPES registry on February 23, 2007.

Where is Jill Dodge located?

Jill Dodge practices at 3990 Old Town Ave Ste 209A, San Diego, CA 92110. The listed phone number is (619) 615-5065.

What is Jill Dodge's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Jill Dodge enrolled in Medicare?

Yes. Jill Dodge is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jill Dodge was last updated on January 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.