Active NPI
Dianne Lumbrezer, LISW-S
- Social Worker
- Wauseon, OH
National Provider Identifier
1215306162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- I.0008701-SUPV
- Practice address
- 725 S Shoop Ave
Wauseon, OH 43567-1702 - Phone
- (419) 330-2743
- NPI assigned
- Sep 22, 2015
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | I.0008701-SUPV | OH | Primary |
Addresses
Primary practice location
725 S Shoop Ave
Wauseon, OH 43567-1702
Mailing address
725 S Shoop Ave
Wauseon, OH 43567-1702
Phone (419) 330-2743
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442880000000",
"number": "1215306162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 S SHOOP AVE",
"city": "WAUSEON",
"state": "OH",
"postal_code": "435671702",
"telephone_number": "419-330-2743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 S SHOOP AVE",
"city": "WAUSEON",
"state": "OH",
"postal_code": "435671702",
"telephone_number": "419-330-2743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUMBREZER",
"first_name": "DIANNE",
"credential": "LISW-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-22",
"last_updated": "2015-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "I.0008701-SUPV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wauseon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.