Individual provider Active NPI

Diane Turk, MSW

  • Clinical Social Worker
  • Sterling Heights, MI
National Provider Identifier
1407611064
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801117482 Issued in MI
Practice address
33200 Dequindre Rd Ste 100
Sterling Heights, MI 48310-5967
Phone
(586) 354-1489
Fax
(586) 698-2907
NPI assigned
Feb 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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 6801117482 MI Primary

Addresses

Primary practice location

33200 Dequindre Rd Ste 100
Sterling Heights, MI 48310-5967

Mailing address

4333 N Watercrest Dr
Toledo, OH 43614-3185
Phone (567) 277-7339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801117482MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mustard Seed Family Counseling LLC PastSince Nov 11, 2024 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1407611064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 N WATERCREST DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436143185",
            "telephone_number": "567-277-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33200 DEQUINDRE RD STE 100",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105967",
            "telephone_number": "586-354-1489",
            "fax_number": "586-698-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURK",
        "first_name": "DIANE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801117482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.