Diane Clark, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSCSW2422 Issued in KS

Practice address

1115 Westport Dr Ste D2
Manhattan, KS 66502-2871

Phone

(785) 560-3101

NPI assigned

Jun 17, 2015

Last updated

Jun 17, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Courser Lapo Inc

  dba Courser Lapo Therapeutic Wellness

  • Clinical Social Worker
  • Belleville, KS
  • NPI 1225417439
  NPD (past)

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1225419096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 WESTPORT DR STE D2",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022871",
            "telephone_number": "785-560-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 WESTPORT DR STE D2",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022871",
            "telephone_number": "785-560-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "DIANE",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "LSCSW2422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Chmidling
• Kaitlynn Christiansen, MD
• Christopher D. Smith, DDS PA (Flint Hills Endodontics)
• Miriam Sophia Clapper
• Abbey Clark, DPT
• Levi Isaac Clark
• Lindsey Clark
• Megan A Clark, SLP
• Briana Leigh Clemons
• Jessica Danielle Cless, LMFT

• Clinical Social Worker in Manhattan, KS
• Providers in Manhattan, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.