Diane M Jensen

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1285-123 Issued in WI

Practice address

2661 County Highway I
Chippewa Falls, WI 54729-5407

Phone

(715) 726-3485

NPI assigned

Aug 20, 2010

Last updated

Aug 20, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Diane M Dynes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• St Josephs Hospital of the Hospital Sisters of the Third Order of St F

  • General Acute Care Hospital
  • Chippewa Falls, WI
  • NPI 1164429908
  NPD (past)

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282262400000",
    "number": "1366758930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6751 NORTH RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547018833",
            "telephone_number": "715-832-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2661 COUNTY HIGHWAY I",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547295407",
            "telephone_number": "715-726-3485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "DIANE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-20",
        "last_updated": "2010-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "1285-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "DYNES",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maxine Ische, PHARMACIST
• Melissa M Jackson
• Emily S Jaeger, PA-C
• Roger H Jagow, ACSW MSW
• Jennifer Jastrow, PTA
• Tiffany Ann Jensen, LPN
• Beth A Jewell, PA-C
• Kathryn L Johnson, MA, LPC
• Michael Todd Johnson, CMT
• Robert S Johnson, PT

• Clinical Social Worker in Chippewa Falls, WI
• Providers in Chippewa Falls, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.