Individual provider Active NPI

Diane A Kempson, MSW, PHD

  • Clinical Social Worker
  • Laramie, WY
National Provider Identifier
1023229788
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 532 Issued in WY
Practice address
32 Black Elk TRL
Laramie, WY 82070-5354
Phone
(307) 399-2502
Fax
(307) 766-6839
NPI assigned
May 24, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW 532 WY Primary

Addresses

Primary practice location

32 Black Elk TRL
Laramie, WY 82070-5354

Mailing address

32 Black Elk TRL
Laramie, WY 82070-5354
Phone (307) 399-2502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LCSW 532WYMDClinical Social Worker
532WYMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023229788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 BLACK ELK TRL",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705354",
            "telephone_number": "307-399-2502",
            "fax_number": "307-766-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 BLACK ELK TRL",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705354",
            "telephone_number": "307-399-2502",
            "fax_number": "307-766-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPSON",
        "first_name": "DIANE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MSW, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW 532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.