Individual provider Active NPI

Renee Luise Diener, LMSW

  • Clinical Social Worker
  • Alpena, MI
National Provider Identifier
1205082351
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801062065 Issued in MI
Practice address
150 S Ripley Blvd
Alpena, MI 49707-3406
Phone
(989) 884-0066
NPI assigned
Aug 8, 2008
Last updated
Apr 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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 6801062065 MI Primary

Addresses

Primary practice location

150 S Ripley Blvd
Alpena, MI 49707-3406

Mailing address

PO Box 586
Alpena, MI 49707-0586
Phone (989) 340-1466

Other practice location 1

1199 Harris Ave
Tawas City, MI 48763-9681
Phone (989) 362-8636

Other practice location 2

311 N 2nd Ave
Alpena, MI 49707-2805
Phone (989) 340-1466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Sky Therapeutic Services, PLLC Clinical CurrentSince Feb 7, 2021 Accepting new patients
Charis Counseling Services of Northeast Michigan, Inc Mental Health PastSince Mar 1, 2020 Accepting new patients
Ausable Valley Community Mental Health Services Board Past Accepting new patients
Ausable Valley CMH Past Accepting new patients

Locations

150 S Ripley Blvd
Alpena, MI 49707
Phone (989) 340-1466

Organizations & group practices 4

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": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1205082351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 586",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497070586",
            "telephone_number": "989-340-1466",
            "fax_number": "989-538-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S RIPLEY BLVD",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497073406",
            "telephone_number": "989-884-0066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1199 Harris Ave",
            "address_purpose": "LOCATION",
            "city": "Tawas City",
            "state": "MI",
            "postal_code": "487639681",
            "country_code": "US",
            "telephone_number": "989-362-8636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311 N 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Alpena",
            "state": "MI",
            "postal_code": "497072805",
            "country_code": "US",
            "telephone_number": "989-340-1466",
            "fax_number": "989-538-8790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIENER",
        "first_name": "RENEE",
        "middle_name": "LUISE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-08",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801062065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpena, MI

Sources for this page

Verify at the official NPI Registry.