Individual provider Active NPI

Susanne Miller Diemert, MSW, LCSW, ACSW

  • Clinical Social Worker
  • Greensburg, PA
National Provider Identifier
1376702308
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017704 Issued in PA
Practice address
131 Mathews St
Greensburg, PA 15601-6939
Phone
(724) 850-7300
Fax
(724) 850-7778
NPI assigned
Jun 5, 2008
Last updated
Jun 10, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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 CW017704 PA Primary

Addresses

Primary practice location

131 Mathews St
Greensburg, PA 15601-6939

Mailing address

1 Corporate Cir
P.O. Box 879
Greensburg, PA 15601-9700
Phone (724) 850-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW017704PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shining Star Therapy LLC Current Accepting new patients
Diana Lynn Gummo CRNP LLC Past Accepting new patients

Locations

56 Sheraton Dr
Ste 200
Greensburg, PA 15601
Phone (724) 420-5731

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1376702308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CORPORATE CIR",
            "address_2": "P.O. BOX 879",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156019700",
            "telephone_number": "724-850-7300",
            "fax_number": "724-850-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MATHEWS ST",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016939",
            "telephone_number": "724-850-7300",
            "fax_number": "724-850-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEMERT",
        "first_name": "SUSANNE",
        "middle_name": "MILLER",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW, ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.