Active NPI
Diana J Depugh, MSW
- Addiction (Substance Use Disorder) Counselor
- Knoxville, TN
National Provider Identifier
1619954609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LDC00000086
- Practice address
- 4928 Homberg Dr
Suie 4-a
Knoxville, TN 37919-5100 - Phone
- (865) 748-4476
- NPI assigned
- Dec 29, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LDC00000086 | TN | Primary |
| Clinical Social Worker | 1041C0700X | LSW0000003551 | TN |
Addresses
Primary practice location
4928 Homberg Dr
Suie 4-a
Knoxville, TN 37919-5100
Mailing address
3110 Pleasant Trace Cir
Knoxville, TN 37912-6207
Phone (865) 748-4476
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1100250 | Other | TN | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061013000174 | TN | Practitioner - Clinical Social Worker | 2668478702 | Practice locations: Powder Springs, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2532 Round Barn Rd
Powder Springs, TN 37848-2418
Phone (865) 748-4476
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDC00000086 | TN | MD | Addiction (Substance Use Disorder) Counselor |
| LSW0000003551 | TN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1619954609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3110 PLEASANT TRACE CIR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379126207",
"telephone_number": "865-748-4476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4928 HOMBERG DR",
"address_2": "SUIE 4-A",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379195100",
"telephone_number": "865-748-4476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPUGH",
"first_name": "DIANA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-29",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TN",
"license": "LDC00000086",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "LSW0000003551",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1100250",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.