SALLY LYNN DUTTON LCSW
NPI 1104255298
Social Worker - Clinical in Grover Beach, CA

Active since November 08, 2013PECOS EnrolledAccepts Medicare Assignment
940 RAMONA AVE STE J, GROVER BEACH, CA 93433(805) 994-9914 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 29, 2023, May 31, 2020, Nov 24, 2015 (3 updates tracked since 2015).

About Sally Lynn Dutton Lcsw NPPES

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

SALLY LYNN DUTTON LCSW (NPI 1104255298) is an individual clinical provider in Grover Beach, California, licensed in California (LCSW76565) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1104255298
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSALLY LYNN DUTTONCredential: LCSW
Location Address940 RAMONA AVE STE JGrover Beach, CA 93433-2155
Mailing AddressPo Box 927Nipomo, CA 93444-0927 · (805) 994-9914
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 8, 2013
Last NPPES UpdateAugust 29, 20233 updates tracked since enumeration
NPPES CertifiedAugust 29, 2023
NPI 1104255298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · LCSW76565
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.
940 RAMONA AVE STE J, Grover Beach, CA 93433

Other Names 1

Former Name (1)Sally Lynn Miller

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

Sally Lynn Dutton 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 ID1557629946
PECOS Enrollment IDI20171212001913
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 93433 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 $59.84 – $178.89
Typical copayment $0.00 (range $14.96 – $44.72)
Most-billed visit code NA
Established Patient
$74.24 typical visit price
range $19.70 – $146.55
Typical copayment $18.56 (range $4.92 – $36.63)
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.

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 Sally Dutton's NPI number?

The NPI number for Sally Dutton is 1104255298. It was assigned to this individual provider in the NPPES registry on November 8, 2013. The provider is also known as Sally Lynn Miller.

Where is Sally Dutton located?

Sally Dutton practices at 940 Ramona Ave Ste J, Grover Beach, CA 93433. The listed phone number is (805) 994-9914.

What is Sally Dutton's specialty?

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

Is Sally Dutton enrolled in Medicare?

Yes. Sally Dutton 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 Sally Dutton was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.