Individual provider Active NPI

Diane Lynn Cruseturner, LCSW

  • Clinical Social Worker
  • Rockwall, TX
National Provider Identifier
1164525549
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
69350 Issued in TX
Practice address
951 Briar Oaks Dr
Rockwall, TX 75087-6520
Phone
(501) 681-0494
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
69350TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Behavioral Healthcare Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 69350 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

951 Briar Oaks Dr
Rockwall, TX 75087-6520

Mailing address

951 Briar Oaks Dr
Rockwall, TX 75087-6520
Phone (501) 681-0494

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
132967002MedicaidAR

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 28, 2022.

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1164525549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 BRIAR OAKS DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750876520",
            "telephone_number": "501-681-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 BRIAR OAKS DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750876520",
            "telephone_number": "501-681-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUSETURNER",
        "first_name": "DIANE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "69350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132967002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.