Diane Yvonne Degraffenreid in Evansville - Clinical

Diane Yvonne Degraffenreid - NPI 1407907579

Diane Yvonne Degraffenreid is a Clinical in Evansville, Indiana. Diane Yvonne Degraffenreid practices all healthcare services and medical treatments related to Clinical. The NPI Number for Diane Yvonne Degraffenreid is 1407907579. The last update date is 2023-06-06.

Diane Yvonne Degraffenreid's current location address is 1500 Washington Ave, Evansville, Indiana. You can contact this provider via phone number 8124751390 and fax number 8124751398. The mailing address for Diane Yvonne Degraffenreid is 1500 Washington Ave, Evansville, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Diane Yvonne Degraffenreid
Address 1500 Washington Ave, Evansville, Indiana
Phone Number 8124751390
Fax Number 8124751398
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1407907579
Provider Enumeration Date 2007-01-16
Last Updated Date 2023-06-06

Provider Mailing Address Detail

Address 1500 Washington Ave
City Evansville
State Indiana (IN)
Post Code 477142059
Phone Number 8124751390
Fax Number 8124751398

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 34004695A
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, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
22000000373645 IN ANTHEM PIN
34004695A IN LCSW STATE LICENSE

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FAQs about Diane Yvonne Degraffenreid

What is the unique 10-digit identifier code issued to Diane Yvonne Degraffenreid by the Centers for Medicare & Medicaid Services?

The Diane Yvonne Degraffenreid has been assigned the NPI (National Provider Identifier) 1407907579 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Diane Yvonne Degraffenreid is physically located?

The Diane Yvonne Degraffenreid is physically situated at the following address: 1500 Washington Ave, Evansville, IN, 477142059.

What is Diane Yvonne Degraffenreid's area of expertise and its corresponding taxonomy classification?

The Diane Yvonne Degraffenreid's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1407907579 to Diane Yvonne Degraffenreid?

The Centers for Medicare & Medicaid Services assigned the 1407907579 to Diane Yvonne Degraffenreid on 2007-01-16.

When was the information pertaining to Diane Yvonne Degraffenreid most recently updated or revised?

The details related to Diane Yvonne Degraffenreid, including its address, specialty, and other relevant information, were last updated or revised on 2023-06-06.

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