Individual provider Active NPI

Diane Hagler, LSW

  • Clinical Social Worker
  • Evansville, IN
National Provider Identifier
1508433889
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34010380A Issued in IN
Practice address
4411 Washington Ave Ste 300
Evansville, IN 47714-0900
Phone
(812) 479-1916
NPI assigned
Jun 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 34010380A IN Primary

Addresses

Primary practice location

4411 Washington Ave Ste 300
Evansville, IN 47714-0900

Mailing address

4411 Washington Ave Ste 300
Evansville, IN 47714-0900
Phone (812) 479-1916

Other identifiers 1

IdentifierTypeStateIssuer
1255436754MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL luzioassociates.com

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

LicenseStateTypeSpecialty
34010380AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Luzio & Associates Behavioral Services, Inc. Clinical CurrentSince Jun 15, 2021 Accepting new patients

Locations

4411 Washington Ave
Ste 300
Evansville, IN 47714
Phone (812) 479-1916

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1508433889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 WASHINGTON AVE STE 300",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140900",
            "telephone_number": "812-479-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 WASHINGTON AVE STE 300",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140900",
            "telephone_number": "812-479-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGLER",
        "first_name": "DIANE",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34010380A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255436754",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "luzioassociates.com",
            "affiliation": "N",
            "address_1": "4411 Washington Ave Ste 300",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477140900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.