Individual provider Active NPI

Dianne Beres, MSW, LSW, CBIS

  • Social Worker
  • Quakertown, PA
National Provider Identifier
1184095572
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW123271 Issued in PA
Practice address
5666 Clymer Rd
Quakertown, PA 18951-3264
Phone
(215) 538-3488
Fax
(215) 538-8692
NPI assigned
Oct 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW123271 PA Primary

Addresses

Primary practice location

5666 Clymer Rd
Quakertown, PA 18951-3264

Mailing address

5666 Clymer Rd
Quakertown, PA 18951-3264
Phone (215) 538-3488

Other names 1

  • Dianne Beres-Phillips Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW123271PAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444608000000",
    "number": "1184095572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5666 CLYMER RD",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189513264",
            "telephone_number": "215-538-3488",
            "fax_number": "215-538-8692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5666 CLYMER RD",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189513264",
            "telephone_number": "215-538-3488",
            "fax_number": "215-538-8692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERES",
        "first_name": "DIANNE",
        "credential": "MSW, LSW, CBIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW123271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANNE",
            "last_name": "BERES-PHILLIPS",
            "credential": "MSW, LSW, CBIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Quakertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.