Diana Mousseau, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801080235 Issued in MI

Practice address

1351 Somerset Ave
Grosse Pointe Park, MI 48230-1030

Phone

(850) 910-2523

NPI assigned

May 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• New Directions Therapy and Learning Center

  • Clinical Social Worker
  • Navarre, FL
  • NPI 1144695644
  NPD (past) Authorized official
• New Directions TLC LLP

  • Clinical Social Worker
  • Fayetteville, NC
  • NPI 1316996416
  NPD (past) Authorized official

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1497704449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 E BAY BLVD",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325639732",
            "telephone_number": "850-910-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 SOMERSET AVE",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301030",
            "telephone_number": "850-910-2523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6360 E Bay Blvd",
            "address_purpose": "LOCATION",
            "city": "Gulf Breeze",
            "state": "FL",
            "postal_code": "325639732",
            "country_code": "US",
            "telephone_number": "850-910-2523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUSSEAU",
        "first_name": "DIANA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11592",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801080235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Ann Mestdagh, PHYSICIAN ASSISTANT
• Matthew D Michels
• Miriam a. Engstrom, PSYD, LLC
• Mobile Speech for Children LLC
• Damon Moore
• Moving Forward Physical Therapy
• Krishna Mrakovcic, MSCN
• Durga Mulpuri, MD
• Michael Jerome Naber, M.D.
• Donnell Stephen Newman Jr., M.D.

• Social Worker in Grosse Pointe Park, MI
• Providers in Grosse Pointe Park, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.