Individual provider Active NPI

Diane Elizabeth Silman, LCSW

  • Clinical Social Worker
  • Doniphan, MO
National Provider Identifier
1346333044
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2003016981 Issued in MO
Practice address
97 Washington St # 100
Doniphan, MO 63935-1649
Phone
(573) 429-3933
Fax
(573) 351-1243
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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 2003016981 MO Primary

Addresses

Primary practice location

97 Washington St # 100
Doniphan, MO 63935-1649

Mailing address

1188 Ripley 142E-24
Doniphan, MO 63935-9832
Phone (573) 429-3933

Other identifiers 2

IdentifierTypeStateIssuer
498401629MedicaidMO
498401611MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050509000665 MO Practitioner - Clinical Social Worker 4789624818 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Francis Medical CenterGroup PAC ID 9931007929, 441 clinicians
Internal Medicine Associates of Southeast Missouri LLCGroup PAC ID 5991615072, 43 clinicians

Practice addresses (Care Compare)

225 Physicians Park
Suite 400
Poplar Bluff, MO 63901-3923
Phone (573) 727-5500

225 Physicians Park Dr
Suite 400
Poplar Bluff, MO 63901-3923

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Medical Center Current Accepting new patients
Saint Francis Medical Center Clinical CurrentSince Jan 1, 2024 Accepting new patients
Big Springs Medical Association CurrentSince Feb 5, 2019 Accepting new patients
Big Springs Medical Association CurrentSince Feb 5, 2019 Accepting new patients
Saint Francis Medical Center CurrentSince Jan 1, 2024 Accepting new patients
Big Springs Medical Association Current Accepting new patients

Locations

211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000

109 Plum St
Doniphan, MO 63935
Phone (573) 776-2136

109 Leroux St
Doniphan, MO 63935
Phone (573) 996-2136

225 Physicians Park
Ste 400
Poplar Bluff, MO 63901
Phone (573) 785-7721

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1346333044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 RIPLEY 142E-24",
            "city": "DONIPHAN",
            "state": "MO",
            "postal_code": "639359832",
            "telephone_number": "573-429-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 WASHINGTON ST # 100",
            "city": "DONIPHAN",
            "state": "MO",
            "postal_code": "639351649",
            "telephone_number": "573-429-3933",
            "fax_number": "573-351-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILMAN",
        "first_name": "DIANE",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2003016981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "498401629",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "498401611",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doniphan, MO

Sources for this page

Verify at the official NPI Registry.