Dianne Jesikiewicz, LCSWR

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R034781 Issued in NY

Practice address

2309 Eggert Rd
Suite 9
Tonawanda, NY 14150-9200

Phone

(716) 831-1856

Fax

(716) 831-0263

NPI assigned

Aug 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Erie County South East Corp V

  • Community/Behavioral Health Agency
  • West Seneca, NY
  • NPI 1487601837
  NPD (past)
• The Dale Association, Inc.

  • Mental Health Counselor
  • North Tonawanda, NY
  • NPI 1962407783

  Clinical

  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284076800000",
    "number": "1669481362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 THORN AVE",
            "address_2": "PO BOX 631",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272600",
            "telephone_number": "716-662-2040",
            "fax_number": "716-662-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 EGGERT RD",
            "address_2": "SUITE 9",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141509200",
            "telephone_number": "716-831-1856",
            "fax_number": "716-831-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESIKIEWICZ",
        "first_name": "DIANNE",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2010-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R034781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000524126002",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie L Brenon DC PLLC
• Susan Jarvis, SLP
• Taylor D Jarvis
• Jeffrey B. Rockoff,MD,PC
• Kathryn Sarah Jerz, PHARMD
• Jessica Juergens Mental Health Counseling LMHC PLLC
• Ruthanne Jillian
• Kaye Marie-Nicole Johnson
• Sara Johnson
• Jasmine Moynea Jones, LPN

• Clinical Social Worker in Tonawanda, NY
• Providers in Tonawanda, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; 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.