DYLAN SCOTT BURDITT LCSW
NPI 1235802141
Social Worker - Clinical in Mammoth Lakes, CA

Q: What is Dylan Burditt's NPI number?

The NPI number for Dylan Burditt is 1235802141. It was assigned to this individual provider in the NPPES registry on July 27, 2021.

Q: What is Dylan Burditt'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 Dylan Burditt was last updated on February 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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 July 27, 2021PECOS EnrolledAccepts Medicare Assignment

1290 TAVERN RD, MAMMOTH LAKES, CA 93546(760) 924-1740 Get Directions Write a Review

NPPES record last updated: February 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 15, 2025, Aug 11, 2021, Jul 27, 2021 (3 updates tracked since 2021).

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About Dylan Scott Burditt Lcsw NPPES

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

DYLAN SCOTT BURDITT LCSW (NPI 1235802141) is an individual clinical provider in Mammoth Lakes, California, licensed in California (120904) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Mammoth Lakes, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1235802141

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameDYLAN SCOTT BURDITTCredential: LCSW

Location Address1290 TAVERN RDMammoth Lakes, CA 93546-6601

Mailing AddressPo Box 9038Mammoth Lakes, CA 93546-9038 · (760) 914-2143

Phone(760) 924-1740

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 27, 2021

Last NPPES UpdateFebruary 15, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 15, 2025

✔ NPI 1235802141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · 120904

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

1290 TAVERN RD, Mammoth Lakes, CA 93546

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Secondary Practice Location 1

Location 1306 Laurel Mountain Rd # S1Mammoth Lakes, CA 93546-7167 · Phone (760) 914-2143

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dylan Scott Burditt 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 ID941776025

PECOS Enrollment IDI20260416000861

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 Dylan Burditt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Mono

Same address

Mental Health (Including Community Mental Health Center)

1290 TAVERN ROAD
Mammoth Lakes, CA 93546

Reassigned Medicare billing, California enrollment
2 clinicians in this Medicare group

NPI 1538266911 (760) 924-1740

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 93546 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 $58.87 – $176.60

Typical copayment $0.00 (range $14.71 – $44.15)

Most-billed visit code NA

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

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 20

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

SOFIA CAROLINA FLORES

Counselor