Mitzi Audra Diesing, MSW, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801083573 Issued in MI

Practice address

1200 N. West Ave.
Suite 810
Jackson, MI 49202-2179

Phone

(517) 300-3985

Fax

(517) 816-1267

NPI assigned

May 24, 2006

Last updated

Oct 20, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Ms. Mitzi Audra Janukaitis Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Bridges to Health Therapy Services Inc

  • Social Worker
  • Jackson, MI
  • NPI 1972271922
  Medicare reassignment NPD Authorized official
• Recovery Technology,LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jackson, MI
  • NPI 1205004298
  Medicare reassignment

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1073568374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N. WEST AVE.",
            "address_2": "SUITE 810",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022179",
            "telephone_number": "517-300-3985",
            "fax_number": "517-816-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N. WEST AVE.",
            "address_2": "SUITE 810",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022179",
            "telephone_number": "517-300-3985",
            "fax_number": "517-816-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIESING",
        "first_name": "MITZI",
        "middle_name": "AUDRA",
        "name_prefix": "Ms.",
        "credential": "MSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801083573",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801083573",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN STATE OF MI",
            "identifier": "718982000",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRADITIONAL BCBS",
            "identifier": "8008970860",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MITZI",
            "last_name": "JANUKAITIS",
            "middle_name": "AUDRA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Steven John Dickerson, CRNA
• Bonnie Lee Dickinson, LLMSW
• Brandon Michael Dickinson, PTA
• Erin Maria Dickson, MT-BC
• Diana Dierickx
• Kimberly Dietrich, PT, DPT
• Valerie Christine Dillay, STNA
• Deanna R Dillon, PA-C
• Tanya M Dingley, NP
• Disability Connections, Inc.

• Social Worker in Jackson, MI
• Providers in Jackson, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.