Jeannette Diddens, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

149015626 Issued in IL

Practice address

2911 12TH Ave S
Nashville, TN 37204-2544

Phone

(815) 541-4663

NPI assigned

Jan 15, 2009

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Nashville Counseling Sessions

  • Clinical Social Worker
  • Nashville, TN
  • NPI 1710673512

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1649417486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 BROADWAY APT 609",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032767",
            "telephone_number": "815-541-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 12TH AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372042544",
            "telephone_number": "815-541-4663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "524 W Stephenson St Ste 218",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "IL",
            "postal_code": "610325058",
            "country_code": "US",
            "telephone_number": "815-541-4663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 25th Ave N Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372031630",
            "country_code": "US",
            "telephone_number": "815-541-4663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIDDENS",
        "first_name": "JEANNETTE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-15",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "LSW0000008568",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149015626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dickson Medical Equipment, Inc
• Abby Dickson
• Addison J Dickson
• Natalie R Dickson, M.D.
• Jacob Diddens, LMSW
• Mark Diddens, LMSW
• M. Todd Didion, P.T.A.
• Dids Middle TN Resource Center
• Michael J. Dieckhaus, MD
• Macey Diedrich, PA-C

• Mental Health Counselor in Nashville, TN
• Providers in Nashville, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.