MRS. SUSAN LYNN DIMOCK LCSW
NPI 1619098167
Social Worker - Clinical in Bandon, OR

Active since April 03, 2007
1212 ALABAMA ST, SUITE 27, BANDON, OR 97411(541) 347-7090 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Susan Lynn Dimock Lcsw NPPES

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

MRS. SUSAN LYNN DIMOCK LCSW (NPI 1619098167) is an individual clinical provider in Bandon, Oregon, licensed in Oregon (L3672) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1619098167
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. SUSAN LYNN DIMOCKCredential: LCSW
Location Address1212 ALABAMA ST, SUITE 27Bandon, OR 97411
Mailing AddressPo Box 252Bandon, OR 97411-0252 · (541) 347-7090
Sole ProprietorYes
Enumeration DateApril 3, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1619098167 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 OR · L3672
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.
1212 ALABAMA ST, Bandon, OR 97411

Other Identifiers 2

OtherJ015501OR · Pacific Source Id Number
Medicare PIN134312OR

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 Susan Dimock's NPI number?

The NPI number for Susan Dimock is 1619098167. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Susan Dimock located?

Susan Dimock practices at 1212 Alabama St Suite 27, Bandon, OR 97411. The listed phone number is (541) 347-7090.

What is Susan Dimock's specialty?

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

When was this NPI record last updated?

The NPPES record for Susan Dimock was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.