Individual provider Active NPI

Diane Linda Thiel, MSW

  • Clinical Social Worker
  • Freeland, WA
National Provider Identifier
1033227129
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW 00009536 Issued in WA
Practice address
5492 S Harbor Ave
Freeland, WA 98249-3002
Phone
(808) 385-2712
NPI assigned
Aug 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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 LW 00009536 WA Primary

Addresses

Primary practice location

5492 S Harbor Ave
Freeland, WA 98249-3002

Mailing address

PO Box 102
Clinton, WA 98236
Phone (808) 385-2712

Other identifiers 2

IdentifierTypeStateIssuer
LSW228OtherHILICENSE IN SOCIAL WORK
RC00055130OtherWAREGISTERED COUNSELOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090616000812 WA Practitioner - Clinical Social Worker 8426108275 Reassigns benefits to 1 organization
Practice locations: Freeland, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5492 Harbor Ave
Freeland, WA 98249-3002
Phone (808) 385-2712

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW 00009536WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of Washington CurrentSince May 6, 2009 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince May 6, 2009 Accepting new patients

Locations

2930 Maple St
Everett, WA 98201
Phone (425) 261-1500

19379 7th Ave NE
Poulsbo, WA 98370
Phone (360) 394-1000

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1033227129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102",
            "city": "CLINTON",
            "state": "WA",
            "postal_code": "98236",
            "telephone_number": "808-385-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5492 S HARBOR AVE",
            "city": "FREELAND",
            "state": "WA",
            "postal_code": "982493002",
            "telephone_number": "808-385-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIEL",
        "first_name": "DIANE",
        "middle_name": "LINDA",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW 00009536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE IN SOCIAL WORK",
            "identifier": "LSW228",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED COUNSELOR",
            "identifier": "RC00055130",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeland, WA

Sources for this page

Verify at the official NPI Registry.