Dianna Baxter, LCSW

Individual provider Active NPI Clinical Social Worker · Hutto, TX

NPI 1316548613 · NPPES record last updated Oct 30, 2023

Key facts

NPI
1316548613
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
69615 (TX)
Practice address
409 W Front St Ste 100119
Hutto, TX 78634-4204
Phone
(512) 524-6121
NPI assigned
Nov 3, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
69615TXMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 69615 TX Yes

Addresses

Primary practice location

409 W Front St Ste 100119
Hutto, TX 78634-4204

Mailing address

409 W Front St Ste 100119
Hutto, TX 78634-4204
Phone (512) 524-6121

Other providers in Hutto, TX

All providers in Hutto, TX · Clinical Social Worker in Texas

Sources for this page

Verify at the official NPI Registry.