Active NPI
Renee Luise Diener, LMSW
- Clinical Social Worker
- Alpena, MI
National Provider Identifier
1205082351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801062065
- Practice address
- 150 S Ripley Blvd
Alpena, MI 49707-3406 - Phone
- (989) 884-0066
- NPI assigned
- Aug 8, 2008
- Last updated
- Apr 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Sky Therapeutic Services, PLLC | Clinical | Current | Accepting new patients |
| Charis Counseling Services of Northeast Michigan, Inc | Mental Health | Past | 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.
-
- Clinical Social Worker
- Alpena, MI
- NPI 1043964349
-
- Clinic/Center
- Tawas City, MI
- NPI 1952628893
-
- Community/Behavioral Health Agency
- Tawas City, MI
- NPI 1417011701
-
- Mental Health Counselor
- Alpena, MI
- NPI 1285117093
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.