Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dylan Scott Burditt, LCSW

Individual provider Mental Health Counselor · NPI 1235802141

Dylan Scott Burditt, LCSW is a Clinical Social Worker in Mammoth Lakes, California. Qualified in 2021, 5 years ago. Practices with County of Mono, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1290 Tavern Rd
Mammoth Lakes, CA 93546-6601
Phone: (760) 924-1740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 306 Laurel Mountain Rd # S1, Mammoth Lakes, CA 93546-7167 — (760) 914-2143

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 120904 (CA)
Mental Health Counselor Taxonomy 101YM0800X (CA)

Record details

NPI number1235802141
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 27, 2021
Last updated in NPPESFebruary 15, 2025
Certification dateFebruary 15, 2025
Mailing addressPo Box 9038, Mammoth Lakes, CA 93546-9038

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice County Of Mono — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mammoth Lakes