Active NPI
Diana Sue Cole, LCSW
- Clinical Social Worker
- Mt. Home, TN
National Provider Identifier
1295762839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904003690
- Practice address
- VA Medical Center
Corner of Lamont and West Market Street
Mt Home, TN 37684 - Phone
- (423) 979-2634
- NPI assigned
- Jun 27, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904003690 | VA | Primary |
Addresses
Primary practice location
VA Medical Center
Corner of Lamont and West Market Street
Mt Home, TN 37684
Mailing address
100 Waterford CT
Gray, TN 37615-2576
Phone (276) 274-0479
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904003690 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295762839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WATERFORD CT",
"city": "GRAY",
"state": "TN",
"postal_code": "376152576",
"telephone_number": "276-274-0479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VA MEDICAL CENTER",
"address_2": "CORNER OF LAMONT AND WEST MARKET STREET",
"city": "MT HOME",
"state": "TN",
"postal_code": "37684",
"telephone_number": "423-979-2634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "DIANA",
"middle_name": "SUE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904003690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mt. Home, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.