Diane Lynn Harrison

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

74458 Issued in CA

Practice address

23421 S Pointe Dr Ste 290
Laguna Hills, CA 92653-1555

Phone

(949) 322-4061

NPI assigned

Sep 19, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Diane Lynn Spedden Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fusion Care Group, a Psychological Professional Corporation

  • Clinical Psychologist
  • Alpine, CA
  • NPI 1275177982
  Medicare reassignment
• Western Youth Services

  • Adolescent and Children Mental Health Clinic/Center
  • Mission Viejo, CA
  • NPI 1790817468
  NPD (past)

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

{
    "created_epoch": "1284854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714780800000",
    "number": "1487962965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31351 HOLLY DR",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516942",
            "telephone_number": "949-322-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23421 S POINTE DR STE 290",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531555",
            "telephone_number": "949-322-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "DIANE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-19",
        "last_updated": "2024-05-04",
        "certification_date": "2024-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "74458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "SPEDDEN",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Monica M. Harms, M.D.
• Harpers Pharmacy Inc
• Marcia Leonora Harris-Luna, FNP/PNP
• David Matthew Harris, DDS
• Matthew Eugene Harris, M.D.
• Sharon Kay Harrison, PT
• Meredith Derby Harsh, PA
• Amanda Hart, PSYD
• Harvard Eye Associates
• Harvard Hearing, Inc.

• Clinical Social Worker in Laguna Hills, CA
• Providers in Laguna Hills, 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 May 4, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.