Active NPI
Diane Marie Vanlier, LCSW
- Clinical Social Worker
- Lufkin, TX
National Provider Identifier
1689736910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16041
- Practice address
- 4101 S Medford Dr
Lufkin, TX 75901-5633 - Phone
- (936) 639-1141
- Fax
- (936) 633-5695
- NPI assigned
- Dec 14, 2006
- Last updated
- Dec 15, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 16041 | TX | Primary |
Addresses
Primary practice location
4101 S Medford Dr
Lufkin, TX 75901-5633
Mailing address
2001S Medford Dr
Lufkin, TX 75901-6260
Phone (936) 633-5672
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040464201 | Medicaid | TX | |
| 87037Q | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16041 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450137600000",
"number": "1689736910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001S MEDFORD DR",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759016260",
"telephone_number": "936-633-5672",
"fax_number": "936-633-5695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 S MEDFORD DR",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759015633",
"telephone_number": "936-639-1141",
"fax_number": "936-633-5695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANLIER",
"first_name": "DIANE",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2015-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "16041",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "040464201",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "87037Q",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.