Diane Carolan Stegman Psychotherapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I3951 Issued in OH

Legal business name

DIANE CAROLAN STEGMAN PSYCHOTHERAPY LLC

Practice address

500 Lincoln Park Blvd
Suite 308
Kettering, OH 45429-3492

Phone

(937) 298-6288

Fax

(937) 298-6271

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Diane Carolan-Stegman, LISW

Title

Psychotherapist

Phone

(937) 298-6288

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martha Diane Carolan-Stegman, LSCSW

  • Clinical Social Worker
  • Leawood, KS
  • NPI 1093729337
  Medicare reassignment NPD
• R L Stegman, PH.D.

  • Clinical Neuropsychologist
  • Kettering, OH
  • NPI 1518992965
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043336571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LINCOLN PARK BLVD",
            "address_2": "SUITE 308",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454293492",
            "telephone_number": "937-298-6288",
            "fax_number": "937-298-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LINCOLN PARK BLVD",
            "address_2": "SUITE 308",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454293492",
            "telephone_number": "937-298-6288",
            "fax_number": "937-298-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE CAROLAN STEGMAN PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAROLAN-STEGMAN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "937-298-6288",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I3951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie Yvonne Derksen, RN,CNS
• Hetal Desai, PA-C
• Judi L Desimio, MS, FNP-BC
• Kelly Renee Dewald, RPH
• Diana C Dey, CRNA
• Mary C Dibenedetto, PA
• Janet Marie Dickens, LSW
• Rosetta L Dickey, CPRS
• Elizabeth M Diem, PA
• Leslie Dierckman

• Clinical Social Worker in Kettering, OH
• Providers in Kettering, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.