Individual provider Active NPI

Diana Marie Cline, LCSW -706 LCSW

  • Clinical Social Worker
  • Sheridan, WY
National Provider Identifier
1245474253
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 706 Issued in WY
Practice address
425 W Loucks St
Sheridan, WY 82801-4128
Phone
(307) 751-7916
NPI assigned
Apr 22, 2009
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
LCSW 706WYMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eric R Askins CurrentSince Mar 13, 2022 Accepting new patients
Piedmont Psychological Practice LLC CurrentSince Mar 13, 2022 Accepting new patients
Diana M. Cline, LLC PastSince Apr 20, 2016 Accepting new patients

Locations

425 W Loucks St
Sheridan, WY 82801
Phone (307) 672-2468

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCSW 706 WY
Addiction (Substance Use Disorder) Counselor 101YA0400X LCSW 706 WY
Clinical Social Worker 1041C0700X LCSW 706 WY Primary

Addresses

Primary practice location

425 W Loucks St
Sheridan, WY 82801-4128

Mailing address

PO Box 7282
Sheridan, WY 82801-7005
Phone (307) 751-7916

Other identifiers 2

IdentifierTypeStateIssuer
1932229523MedicaidWY
1225003023MedicaidWY

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1245474253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7282",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828017005",
            "telephone_number": "307-751-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W LOUCKS ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828014128",
            "telephone_number": "307-751-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINE",
        "first_name": "DIANA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW -706  LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "LCSW 706",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WY",
            "license": "LCSW 706",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW 706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932229523",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225003023",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.