Diane Marie Thorp, MSW, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

65567 Issued in CA

Practice address

55 9TH St
Cayucos, CA 93430-1301

Phone

(818) 395-9853

NPI assigned

Aug 25, 2010

Last updated

Mar 11, 2024By 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 names 1

• Miss Diane Marie Jacobs Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1457667685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 N GRAND AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033522",
            "telephone_number": "818-395-9853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 9TH ST",
            "city": "CAYUCOS",
            "state": "CA",
            "postal_code": "934301301",
            "telephone_number": "818-395-9853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORP",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSW, ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-25",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "65567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "JACOBS",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristin McMaster, LCSW
• Michael Kobliska DDS Inc (Cayucos Dental)
• Terry Francis Moore, DDS
• Kathleen M. Oliver, LCSW
• Dianna Powers, PT

• Clinical Social Worker in Cayucos, CA
• Providers in Cayucos, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.