Individual provider Active NPI

Arielle Dienstberger, LSW

  • Social Worker
  • Jeromesville, OH
National Provider Identifier
1386387140
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.1450306 Issued in OH
Practice address
3041 County Road 2000
Jeromesville, OH 44840-9758
Phone
(419) 289-4825
Fax
(413) 289-4826
NPI assigned
Apr 19, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

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
S.1450306OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ground Work Play Therapy, Inc. Past
since Jan 21, 2024
Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.1450306 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

3041 County Road 2000
Jeromesville, OH 44840-9758

Mailing address

3041 County Road 2000
Jeromesville, OH 44840-9758
Phone (419) 289-4825

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1073952271MedicaidOH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 30, 2024.

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1386387140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 COUNTY ROAD 2000",
            "city": "JEROMESVILLE",
            "state": "OH",
            "postal_code": "448409758",
            "telephone_number": "419-289-4825",
            "fax_number": "419-289-4826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 COUNTY ROAD 2000",
            "city": "JEROMESVILLE",
            "state": "OH",
            "postal_code": "448409758",
            "telephone_number": "419-289-4825",
            "fax_number": "413-289-4826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIENSTBERGER",
        "first_name": "ARIELLE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-19",
        "last_updated": "2024-10-30",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1450306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073952271",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeromesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.