DR. MICHELLE A DILLARD LCSW-C, LICSW
NPI 1083988133
Social Worker - Clinical in Waldorf, MD

Active since March 06, 2012PECOS Enrolled
11705 BERRY RD STE 104, WALDORF, MD 20603(140) 207-4513(240) 846-6037 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Feb 12, 2021, Mar 5, 2019 and 5 more (8 updates tracked since 2017).

About Dr. Michelle A Dillard Lcsw-c, Licsw NPPES

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

DR. MICHELLE A DILLARD LCSW-C, LICSW (NPI 1083988133) is an individual clinical provider in Waldorf, Maryland, licensed in Maryland (12614) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1083988133
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDR. MICHELLE A DILLARDCredential: LCSW-C, LICSW
Location Address11705 BERRY RD STE 104Waldorf, MD 20603-5933
Mailing Address11705 Berry Rd Ste 104Waldorf, MD 20603-5933 · (240) 207-4513 · Fax (240) 846-6037
Fax(240) 846-6037
Sole ProprietorYes
Enumeration DateMarch 6, 2012
Last NPPES UpdateJuly 21, 20228 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2021
NPI 1083988133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in MD · 12614 Licensed in DC · LC50077993 Licensed in VA · 0904009461
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

11705 BERRY RD STE 104, Waldorf, MD 20603

Secondary Practice Locations 2

Location 16755 Business Pkwy Ste 306Elkridge, MD 21075-6740 · Phone (240) 207-4513 · Fax (240) 846-6037
Location 23261 Old Washington Rd Ste 2020Waldorf, MD 20602 · Phone (240) 207-4513 · Fax (240) 213-2430

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Michelle A Dillard Lcsw-c, Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20603 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $57.99 – $175.57
Typical copayment $0.00 (range $14.49 – $43.89)
Most-billed visit code NA
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

Clinic/Center (Adult Mental Health)
11705 BERRY RD STE 104
WALDORF, MD 20603
Clinic/Center (Rehabilitation, Substance Use Disorder)
11705 BERRY RD STE 104
WALDORF, MD 20603
Community/Behavioral Health
11705 BERRY RD STE 104
WALDORF, MD 20603
Community/Behavioral Health
11705 BERRY RD STE 104
WALDORF, MD 20603
Social Worker (Clinical)
11705 BERRY RD STE 104
WALDORF, MD 20603
Social Worker
11705 BERRY RD STE 104
WALDORF, MD 20603
Case Management
11705 BERRY RD STE 104
WALDORF, MD 20603
Day Training/Habilitation Specialist
11705 BERRY RD STE 104
WALDORF, MD 20603

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 Michelle Dillard's NPI number?

The NPI number for Michelle Dillard is 1083988133. It was assigned to this individual provider in the NPPES registry on March 6, 2012.

Where is Michelle Dillard located?

Michelle Dillard practices at 11705 Berry Rd Ste 104, Waldorf, MD 20603. The listed phone number is (140) 207-4513.

What is Michelle Dillard's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Michelle Dillard enrolled in Medicare?

Yes. Michelle Dillard is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michelle Dillard was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.