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

Individual provider Clinical Social Worker · NPI 1104255298

Sally Lynn Dutton, LCSW is a Clinical Social Worker in Grover Beach, California. Qualified in 2013, 13 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
13
Licensed in
CA
In the registry since
2013
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

940 Ramona Ave Ste J
Grover Beach, CA 93433-2155
Phone: (805) 994-9914
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW76565 (CA)

Record details

NPI number1104255298
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 8, 2013
Last updated in NPPESAugust 29, 2023
Certification dateAugust 29, 2023
Mailing addressPo Box 927, Nipomo, CA 93444-0927

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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