Diana M. Hostettler, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW015419 Issued in PA

Practice address

36000 Darnall Loop
Fort Hood, TX 76544-5095

Phone

(254) 286-7323

NPI assigned

Oct 4, 2006

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

Other names 1

• Diana M. Bayles Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1164517165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 REDINGTON AVE",
            "city": "TROY",
            "state": "PA",
            "postal_code": "169471075",
            "telephone_number": "570-297-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36000 DARNALL LOOP",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765445095",
            "telephone_number": "254-286-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSTETTLER",
        "first_name": "DIANA",
        "middle_name": "M.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "BAYLES",
            "middle_name": "M.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ronald Leon Holmes Jr., PHYSICIAN ASSISTANT
• Vivian Victoria Holt, DVM
• Walter Holtgrefe
• Qiana Hood
• Somkiat Horton, RN
• Jodie Houng, OD
• Robert Larue Houser, P.A.-C.
• Linda Gail Houston, FNP
• Caitlin Mary Howard, MD, MPH
• Savannah Jasmine Rakelle Howard

• Clinical Social Worker in Fort Hood, TX
• Providers in Fort Hood, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.