Individual provider Active NPI

Diana Jean Schmitz, LMSW, LSW

  • Clinical Social Worker
National Provider Identifier
1275078149
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7368S Issued in NV
Practice address
2360 N Horizon Ridge Parkway
Henderson, CLARK COUNTY 89052
UM
Phone
(702) 294-0433
NPI assigned
Dec 30, 2016
Last updated
Dec 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7368S NV Primary

Addresses

Primary practice location

2360 N Horizon Ridge Parkway
Henderson, CLARK COUNTY 89052
UM

Mailing address

9132 Kona Peaks CT Unit 103
Las Vegas, NV 89149-2938
Phone (480) 516-7339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200716004173 NV Practitioner - Clinical Social Worker 8426472978 Reassigns benefits to 1 organization
I20220726001831 AR Practitioner - Clinical Social Worker 8426472978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Conway Counseling and Psychological Services PLLCGroup PAC ID 4183933781, 30 clinicians

Practice addresses (Care Compare)

855 S German LN
Suite 1
Conway, AR 72034-6479
Phone (501) 358-6606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7368SNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Counseling LLC CurrentSince May 5, 2020 Accepting new patients
Conway Counseling & Psychological Services, PLLC CurrentSince Jul 1, 2022 Accepting new patients

Locations

855 S German Ln
Ste 1
Conway, AR 72034
Phone (501) 358-6606

2360 W Horizon Ridge Pkwy
Ste 120
Henderson, NV 89052
Phone (702) 518-7629

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.

NPI Registry JSON

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

{
    "created_epoch": "1483056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1275078149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9132 KONA PEAKS CT UNIT 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891492938",
            "telephone_number": "480-516-7339"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "2360 N HORIZON RIDGE PARKWAY",
            "city": "HENDERSON",
            "state": "CLARK COUNTY",
            "postal_code": "89052",
            "telephone_number": "702-294-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMITZ",
        "first_name": "DIANA",
        "middle_name": "JEAN",
        "credential": "LMSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-30",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "7368S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.