Active NPI
Diane Christine Rose, LCSW
- Clinical Social Worker
- Hiawatha, KS
National Provider Identifier
1407967219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2335
- Practice address
- 909 S 2ND St
Hiawatha, KS 66434-2774 - Phone
- (785) 742-7113
- Fax
- (785) 742-3085
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2335 | KS | Primary |
Addresses
Primary practice location
909 S 2ND St
Hiawatha, KS 66434-2774
Mailing address
454 Fawn Ridge Dr
Oakland, OR 97462-9600
Phone (541) 680-1501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061130000119 | OR | Practitioner - Clinical Social Worker | 8527066505 | Practice locations: Roseburg, OR |
| I20131125000411 | KS | Practitioner - Clinical Social Worker | 8527066505 | Practice locations: Topeka, KS |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3515 NE Kimbal Rd
Topeka, KS 66617-1470
Phone (541) 680-1501
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2335 | KS | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372636800000",
"number": "1407967219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "454 FAWN RIDGE DR",
"city": "OAKLAND",
"state": "OR",
"postal_code": "974629600",
"telephone_number": "541-680-1501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 S 2ND ST",
"city": "HIAWATHA",
"state": "KS",
"postal_code": "664342774",
"telephone_number": "785-742-7113",
"fax_number": "785-742-3085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "DIANE",
"middle_name": "CHRISTINE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2013-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "2335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hiawatha, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.