Diane V Haddon PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

289LCSW Issued in MT

Legal business name

DIANE V HADDON PLLC

Practice address

210 N Higgins Ave
Suite 324
Missoula, MT 59802-4462

Phone

(406) 721-6144

Fax

(406) 721-6709

NPI assigned

Jul 19, 2007

Last updated

Jul 19, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diane V Haddon, MSW LCSWNPI 1558348938

Title

Solo Owner

Phone

(406) 721-6144

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Diane V Haddon, MSW LCSW

  • Clinical Social Worker
  • Missoula, MT
  • NPI 1558348938
  Authorized official Same address or phone

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1477753366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N HIGGINS AVE",
            "address_2": "SUITE 324",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024462",
            "telephone_number": "406-721-6144",
            "fax_number": "406-721-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N HIGGINS AVE",
            "address_2": "SUITE 324",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024462",
            "telephone_number": "406-721-6144",
            "fax_number": "406-721-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE V HADDON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "HADDON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "SOLO OWNER",
        "authorized_official_telephone_number": "406-721-6144",
        "authorized_official_credential": "MSW LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "289LCSW",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000502203",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey M. Dewitt, MA, LCPC
• Ward S Dewitt, MD
• Ellen S Dewolfe, MSN PC
• Katherine Dexter, DNP, APRN-BC
• Johna Dhuyvetter
• Amber Diaz, DPT
• Emily Lea Diaz, DC
• Larissa J Dibble
• Marnie Jean Dichiaro, APRN
• Rye Grace Dickson, LMT

• Clinical Social Worker in Missoula, MT
• Providers in Missoula, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.