Individual provider Active NPI

Diane T Schachtele, LCSW

  • Clinical Social Worker
  • Apex, NC
National Provider Identifier
1043306657
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CO13781 Issued in NC
Practice address
2101 Whitesmith Dr
Apex, NC 27502-4327
Phone
(609) 802-5812
Fax
(609) 396-2670
NPI assigned
Oct 4, 2006
Last updated
Mar 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05344900 NJ
Clinical Social Worker 1041C0700X 44S105342500 NJ
Clinical Social Worker 1041C0700X 14585 FL
Clinical Social Worker 1041C0700X CO13781 NC Primary

Addresses

Primary practice location

2101 Whitesmith Dr
Apex, NC 27502-4327

Mailing address

2101 Whitesmith Dr
Apex, NC 27502-4327
Phone (609) 802-5812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20080625000207 NJ Practitioner - Clinical Social Worker 8820169451 Practice locations: Cranbury, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

70 S Main St
Cranbury, NJ 08512-3140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14585FLMDClinical Social Worker
CO13781NCMDClinical Social Worker
44S105342500NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1043306657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 WHITESMITH DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275024327",
            "telephone_number": "609-802-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 WHITESMITH DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275024327",
            "telephone_number": "609-802-5812",
            "fax_number": "609-396-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHACHTELE",
        "first_name": "DIANE",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05344900",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44S105342500",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "14585",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "CO13781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

Verify at the official NPI Registry.