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

Q: 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.

Q: What is Michelle Dillard's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michelle Dillard was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 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: October 18, 2026.

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

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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

Phone(140) 207-4513

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

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Michelle Dillard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Creative Pathways, Inc

17 mi

Rehabilitation, Substance Use Disorder

2918 MINNESOTA AVENUE SOUTHEAST
Washington, DC 20019

Reassigned Medicare billing, District of Columbia enrollment

NPI 1376193797 (240) 375-1957

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MS. SOURITHA STOUTAMIRE

Day Training/Habilitation Specialist