Individual provider Active NPI

Diana Lee Hardin

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1174710461
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3157 Issued in KY
Practice address
608 Highwood Dr
Louisville, KY 40206-3263
Phone
(502) 714-8664
NPI assigned
Oct 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 4304 KY
Clinical Social Worker 1041C0700X 3157 KY Primary

Addresses

Primary practice location

608 Highwood Dr
Louisville, KY 40206-3263

Mailing address

608 Highwood Dr
Louisville, KY 40206-3263

Other identifiers 1

IdentifierTypeStateIssuer
7100269100MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20080114000534 KY Practitioner - Clinical Social Worker 5092896290 Reassigns benefits to 1 organization
Practice locations: Louisville, KY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4304KYMDChiropractor
3157KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Osting Individual and Family Services Inc CurrentSince May 1, 2019 Accepting new patients

Locations

2210 Goldsmith Ln
Ste 230
Louisville, KY 40218
Phone (502) 618-3317

2210 Goldsmith Ln
Ste 266
Louisville, KY 40218
Phone (502) 618-3317

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.

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1174710461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 HIGHWOOD DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402063263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 HIGHWOOD DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402063263",
            "telephone_number": "502-714-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIN",
        "first_name": "DIANA",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "4304",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100269100",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.