Active NPI
Dianna Marie Prisbrey
- Clinical Social Worker
- Brockton, MA
National Provider Identifier
1477832939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8479480-3502
- Practice address
- 10 Meadowbrook Rd.
High Point Treatment Center
Brockton, MA 02301 - Phone
- (801) 368-6897
- NPI assigned
- Aug 15, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 8479480-3502 | UT | Primary |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
10 Meadowbrook Rd.
High Point Treatment Center
Brockton, MA 02301
Mailing address
10 Meadowbrook Rd.
High Point Treatment Center
Brockton, MA 02301
Phone (801) 368-6897
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8479480-3502 | UT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487635200000",
"number": "1477832939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 MEADOWBROOK RD.",
"address_2": "HIGH POINT TREATMENT CENTER",
"city": "BROCKTON",
"state": "MA",
"postal_code": "02301",
"telephone_number": "801-368-6897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 MEADOWBROOK RD.",
"address_2": "HIGH POINT TREATMENT CENTER",
"city": "BROCKTON",
"state": "MA",
"postal_code": "02301",
"telephone_number": "801-368-6897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRISBREY",
"first_name": "DIANNA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-15",
"last_updated": "2017-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "8479480-3502",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.