Diane Yvonne Degraffenreid, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34004695A Issued in IN

Practice address

1500 Washington Ave
Evansville, IN 47714-2059

Phone

(812) 475-1390

Fax

(812) 475-1398

NPI assigned

Jan 16, 2007

Last updated

Jun 6, 2023By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bright Outlook CounselingGroup PAC ID 8123392982, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bright Outlook Counseling

  • Clinical Social Worker
  • Newburgh, IN
  • NPI 1891213286
  Medicare reassignment Care Compare group NPD
• New Horizon Counseling Center, LLC

  • Clinical Social Worker
  • Evansville, IN
  • NPI 1336559319
  Medicare reassignment
• Southwestern Behavioral Healthcare, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Evansville, IN
  • NPI 1033108766
  NPD
• Deaconess Cross Pointe

  • Psychiatric Hospital
  • Evansville, IN
  • NPI 1053318972
  NPD (past)
• Deaconess Cross Pointe Center, LLC

  • Mental Health Counselor
  • Owensboro, KY
  • NPI 1558396689

  Clinical

  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1407907579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3276",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477313276",
            "telephone_number": "812-473-0181",
            "fax_number": "812-492-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WASHINGTON AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477142059",
            "telephone_number": "812-475-1390",
            "fax_number": "812-475-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRAFFENREID",
        "first_name": "DIANE",
        "middle_name": "YVONNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004695A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "22000000373645",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW STATE LICENSE",
            "identifier": "34004695A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rodney Cua Deang, PT
• Deangelis Counseling Services LLC
• Mario Andres Defelice, RDMS
• Tricia Dawn Deffendoll, PTA
• Roy Allen Defries, MD
• Aeriel Dejesus-Grimm, PT
• Kanosha Amarieya Dejournett
• Grace Dekemper, BCBA
• Alexander E Dela Llana, MD
• Shawna E Dellay, FNP

• Clinical Social Worker in Evansville, IN
• Providers in Evansville, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.