Diane Hutt Anderson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 22996 Issued in CA

Practice address

2605 E. Foothill Boulevard
#109
Glendora, CA 91740

Phone

(909) 967-6236

Fax

(909) 861-9371

NPI assigned

May 14, 2007

Reactivated

Aug 4, 2014

Last updated

Aug 4, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: diane.anderson.p1@direct.aphcv.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Asian Pacific Health Care Venture, Inc.

  • Community Health Clinic/Center
  • Los Angeles, CA
  • NPI 1336208255
  NPD
• Asian Pacific Health Care Venture, Inc.

  • Community Health Clinic/Center
  • El Monte, CA
  • NPI 1609147743
  NPD
• Soultenders, Inc.

  • Clinical Psychologist
  • Arcadia, CA
  • NPI 1164617007
  NPD
• Midwest Post-Acute Care of California PC

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1326490871

  Clinical

  NPD
• Mpac SMH of California PC

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1821660960

  Clinical

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1003022534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 E FOOTHILL BLVD",
            "address_2": "# 109",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404003",
            "telephone_number": "909-967-6236",
            "fax_number": "909-861-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 E. FOOTHILL BOULEVARD",
            "address_2": "#109",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "91740",
            "telephone_number": "909-967-6236",
            "fax_number": "909-861-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DIANE",
        "middle_name": "HUTT",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2014-08-04",
        "deactivation_date": "2014-07-25",
        "reactivation_date": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 22996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Board & Care LLC
• American Medical Transportation
• Hayk Amiryan
• Amma Healthcare Management
• Emad M Ammar, DDS
• Jasmine Marie Andrade
• Angel of Mercy Hospice
• Elizabeth Oleta Angel
• Anna Lee, D.D.S., a Professional Corporation
• Jennifer Anotado, RN FNP

• Clinical Social Worker in Glendora, CA
• Providers in Glendora, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.