Diane Elizabeth Wisenbaker-Williams, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

36661 Issued in TX

Practice address

5600 W Lovers LN
#317
Dallas, TX 75209-4330

Phone

(214) 883-1129

Fax

(214) 358-0092

NPI assigned

Jun 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dallas Counseling and Psychotherapy PLLCGroup PAC ID 7517197858, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dallas Counseling & Psychotherapy PLLC

  dba Dallas Whole Life Counseling

  • Mental Health Counselor
  • Dallas, TX
  • NPI 1538396940
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1182038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396940748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10655 COX LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752295212",
            "telephone_number": "214-358-3578",
            "fax_number": "214-358-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W LOVERS LN",
            "address_2": "#317",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752094330",
            "telephone_number": "214-883-1129",
            "fax_number": "214-358-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISENBAKER-WILLIAMS",
        "first_name": "DIANE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "36661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew W. Wise, DO
• Ciara Lauren Wisecup, MD
• Maren E Wiseheart, ARNP
• April Wiseman, PA-C
• Lindsay Brooke Wiseman, MD
• Wisewell Health, PLLC
• Alfred Bernard Wishart, LPC, LCDC, MAC, CRC
• Jason Randall Wishin Sr., PT
• Michelle L Wisniewski, AGACNP
• Kelley Wissinger, R.D.

• Clinical Social Worker in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.