Diana L Etshokin in Indianapolis - Clinical
Diana L Etshokin - NPI 1023177656
Diana L Etshokin is a Clinical in Indianapolis, Indiana. Diana L Etshokin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Diana L Etshokin is 1023177656. The last update date is 2016-07-07.
Diana L Etshokin's current location address is 7007 Graham Rd, Indianapolis, Indiana. You can contact this provider via phone number 3175779208 and fax number 3175779209. The mailing address for Diana L Etshokin is 7007 Graham Rd, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diana L Etshokin |
|---|---|
| Address | 7007 Graham Rd, Indianapolis, Indiana |
| Phone Number | 3175779208 |
| Fax Number | 3175779209 |
| Sole Proprietor | N |
| Credentials | LCSW LMFT |
NPI Number Detail
| NPI Number | 1023177656 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2016-07-07 |
Provider Mailing Address Detail
| Address | 7007 Graham Rd |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462204047 |
| Phone Number | 3175779208 |
| Fax Number | 3175779209 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34022530ALCS |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 330943 | ANTHEM INS | ||
| 114632000 | MAGELLAN INS |
Post Comment/ Review Below
What is the Diana L Etshokin's unique identification number?
The Diana L Etshokin has been assigned the NPI (National Provider Identifier) Number 1023177656 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Diana L Etshokin located?
The Diana L Etshokin is located at 7007 Graham Rd, Indianapolis, IN 462204047.
What is the Diana L Etshokin's area of specialization and corresponding taxonomy classification?
The Diana L Etshokin's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1023177656 to Diana L Etshokin?
The Centers for Medicare & Medicaid Services originally issued the 1023177656 to Diana L Etshokin on 2006-12-08.
As of what date was the information pertaining to Diana L Etshokin, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Diana L Etshokin, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-07-07.
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