Individual provider Active NPI

Diane Elizabeth Ciafullo, L.C.S.W.

  • Clinical Social Worker
  • Sedalia, MO
National Provider Identifier
1184616385
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005163 Issued in MO
Practice address
121 E Broadway Blvd
Sedalia, MO 65301-5800
Phone
(660) 826-2380
Fax
(660) 827-6277
NPI assigned
Aug 16, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 005163 MO Primary

Addresses

Primary practice location

121 E Broadway Blvd
Sedalia, MO 65301-5800

Mailing address

121 E Broadway Blvd
Sedalia, MO 65301-5800
Phone (660) 826-2380

Other identifiers 1

IdentifierTypeStateIssuer
30645012OtherMOBLUE CROSS BLUE SHIELD ID

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
005163MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Mefford PastSince Aug 14, 2001 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1184616385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E BROADWAY BLVD",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653015800",
            "telephone_number": "660-826-2380",
            "fax_number": "660-827-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E BROADWAY BLVD",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653015800",
            "telephone_number": "660-826-2380",
            "fax_number": "660-827-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIAFULLO",
        "first_name": "DIANE",
        "middle_name": "ELIZABETH",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "005163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "30645012",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedalia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.