Diane Keubler, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC5650 Issued in ME

Practice address

10 Alps Rd
Stockton Springs, ME 04981-4316

Phone

(207) 322-7800

NPI assigned

Sep 20, 2009

Last updated

Sep 20, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1253404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253404800000",
    "number": "1124352406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ALPS RD",
            "city": "STOCKTON SPRINGS",
            "state": "ME",
            "postal_code": "049814316",
            "telephone_number": "207-322-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ALPS RD",
            "city": "STOCKTON SPRINGS",
            "state": "ME",
            "postal_code": "049814316",
            "telephone_number": "207-322-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEUBLER",
        "first_name": "DIANE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-20",
        "last_updated": "2009-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC5650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adventure ABA LLC
• Jessica Braddock, LCSW
• Margaret Klepack, MD
• Daphne C Lang, MD
• Mainehealth (MaineHealth Primary Care Family Medicine)
• Le'Ann L Milinder, BCBA
• Richard B Read, M.D.

• Clinical Social Worker in Stockton Springs, ME
• Providers in Stockton Springs, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.