Diane Dunn, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

DIANE DUNN, LLC

Practice address

1029 3Rd Ave Ste 2
Worthington, MN 56187-2399

Phone

(507) 820-1545

Fax

(507) 825-9978

NPI assigned

Nov 6, 2019

Organization subpart

No

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

Authorized official

Name

Diane Kaye Dunn, LICSWNPI 1164457594

Title

Clinical Social Worker

Phone

(507) 820-1545

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

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

• Diane Kaye Dunn, LICSW

  • Clinical Social Worker
  • Worthington, MN
  • NPI 1164457594

  MN

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575590400000",
    "number": "1053955666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561870291",
            "telephone_number": "507-820-1545",
            "fax_number": "507-825-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 3RD AVE STE 2",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561872399",
            "telephone_number": "507-820-1545",
            "fax_number": "507-825-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE DUNN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-12-06",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "507-820-1545",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Marie Davis, PMHNP-BC
• Tiffany Dekam, PHARM.D.
• Rachael R Dekker, CNP, CRNA
• Darlene Renee Dewitt, RD
• Diagnostic Radiologic Imaging PA
• Charles Okechukwu Dike, MD
• Nichole Marie Dillon
• James Michael Donohue, M.D.
• Gayatri Doshi, PMHNP
• David Dragas, MD

• All providers in Worthington, MN
• Adult Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.