Diane Dockendorf Opatz, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1902 Issued in MN

Practice address

3333 W Division St
Saint Cloud, MN 56301-4515

Phone

(320) 309-8789

NPI assigned

Mar 16, 2007

Last updated

May 9, 2012By 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.

• DD Opatz Counseling, LLC

  • Clinical Social Worker
  • Saint Cloud, MN
  • NPI 1083979207
  NPD (past) Authorized official

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336521600000",
    "number": "1306960315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 ALDON DR",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563015957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 W DIVISION ST",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014515",
            "telephone_number": "320-309-8789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPATZ",
        "first_name": "DIANE",
        "middle_name": "DOCKENDORF",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2012-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "1902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Odur Onyongo
• Missy Lynn Oothoudt, LADC
• Madison Marie Opatz-Johnson
• Amy Opatz, CLC
• Amy Lynn Opatz, OTR
• Sheila Linnea Opatz
• Susan Opgrand-Cromwell
• Emmanuel Oppong
• Opportunity Manor Inc
• Options for Employment LLC

• Clinical Social Worker in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.