Diane Marie Fern, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1125 Issued in NE

Practice address

1700 S 24TH St
Lincoln, NE 68502-3003

Phone

(402) 435-2273

Fax

(402) 435-2274

NPI assigned

Apr 9, 2008

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

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain West Wisdom and Wellness LLCGroup PAC ID 4981132396, 2 clinicians

Practice addresses (Care Compare)

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.

• Mountain West Wisdom and Wellness, LLC

  • Clinical Social Worker
  • Lakewood, CO
  • NPI 1467292003
  Medicare reassignment Care Compare group Authorized official
• Summit Care and Wellness

  • Early Intervention Provider Agency
  • Lincoln, NE
  • NPI 1538464763
  NPD (past)
• Summit Care and Wellness Treatment and Counseling, PC

  • Addiction (Substance Use Disorder) Counselor
  • Lincoln, NE
  • NPI 1578691333
  NPD (past)

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1669645701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S 24TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023003",
            "telephone_number": "402-435-2273",
            "fax_number": "402-435-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S 24TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023003",
            "telephone_number": "402-435-2273",
            "fax_number": "402-435-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERN",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Ferguson
• Rebekah Marie Ferguson
• Stephanie Ann Ferguson, CRNA
• Richard Arthur Fermelia, MD
• Cooper Fern
• Ricardo Fernandes de Abreu, ATC
• Amparo Del Pilar Fernandez, FNP-BC
• Lisa Fernandez
• Neldy Fernandez
• Briana Ferrier

• Clinical Social Worker in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Clinical Social Worker in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.

Verify at the official NPI Registry.