Individual provider Active NPI

Dianne Kay Javurek, MED, MSW, LSW

  • Clinical Social Worker
  • Ashland, OH
National Provider Identifier
1578844262
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S00028884 Issued in OH
Practice address
2233 Rocky LN
Ashland, OH 44805-4701
Phone
(419) 281-3716
NPI assigned
Sep 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X S00028884 OH Primary

Addresses

Primary practice location

2233 Rocky LN
Ashland, OH 44805-4701

Mailing address

53 Salem Rd
Lexington, OH 44904-9350
Phone (419) 544-9776

Other names 1

  • Ms. Dianne Kay Huntwork Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20120412000312 OH Practitioner - Clinical Social Worker 0446411896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Directions Eap IncGroup PAC ID 3375438609, 3 clinicians

Practice addresses (Care Compare)

1575 Marion Ave
Mansfield, OH 44906-3409
Phone (419) 529-9941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
S00028884OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Directions Eap Inc. CurrentSince May 10, 2012 Accepting new patients
Appleseed Community Mental Health Center Inc Past Accepting new patients

Locations

1575 Marion Ave
Mansfield, OH 44906
Phone (419) 529-9941

Organizations & group practices 2

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": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1578844262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 SALEM RD",
            "city": "LEXINGTON",
            "state": "OH",
            "postal_code": "449049350",
            "telephone_number": "419-544-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 ROCKY LN",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448054701",
            "telephone_number": "419-281-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVUREK",
        "first_name": "DIANNE",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "MED, MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S00028884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANNE",
            "last_name": "HUNTWORK",
            "middle_name": "KAY",
            "prefix": "MS.",
            "credential": "MED, MSW, LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ashland, OH

Sources for this page

Verify at the official NPI Registry.