Active NPI
Diane Sue Vancleave, PH.D, MSSW
- Clinical Social Worker
- Evansville, IN
National Provider Identifier
1245483395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 340000182A
- Practice address
- 4770 Covert Ave
Evansville, IN 47714-5617 - Phone
- (812) 475-3420
- NPI assigned
- Nov 2, 2008
- Last updated
- Nov 2, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 340000182A | IN | Primary |
| Marriage & Family Therapist | 106H00000X | 35001309A | IN |
Addresses
Primary practice location
4770 Covert Ave
Evansville, IN 47714-5617
Mailing address
4770 Covert Ave
Evansville, IN 47714-5617
Phone (812) 475-3420
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34000182A | Other | IN | CLINICAL SOCIAL WORKER |
| 35001309A | Other | IN | MARRIAGE & FAMILY THERAPIST |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 340000182A | IN | MD | Clinical Social Worker |
| 35001309A | IN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Cross Pointe Center, LLC | Clinical | Past | Accepting new patients |
| Deaconess Cross Pointe | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatric Hospital
- Evansville, IN
- NPI 1053318972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225584000000",
"number": "1245483395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4770 COVERT AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477145617",
"telephone_number": "812-475-3420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4770 COVERT AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477145617",
"telephone_number": "812-475-3420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANCLEAVE",
"first_name": "DIANE",
"middle_name": "SUE",
"name_prefix": "Dr.",
"credential": "PH.D, MSSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-02",
"last_updated": "2008-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "340000182A",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IN",
"license": "35001309A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLINICAL SOCIAL WORKER",
"identifier": "34000182A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARRIAGE & FAMILY THERAPIST",
"identifier": "35001309A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
- Joshua Grant Vaal, MSW, LCSW
- Valley Neuro Monitoring LLC
- Carlie R Van Voorst, NP
- Deetta Kay Vance, DNP, APRN, FNP-BC
- Russell Edward Vance III, PHD
- Vanderburgh County (Vanderburgh County Department of Health)
- Vanderburgh County (Vanderburgh Co. Dept. of Health Laboratory)
- Sarah Vanderhoof-Dossett
- Cynthia Lyn Vanhooser, PTA
- Angela Renee Vanmatre, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.