Diane Lynn Metayer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW17237 Issued in FL

Practice address

111 Athabasca Dr
Kissimmee, FL 34759-5909

Phone

(954) 297-3439

NPI assigned

May 21, 2020

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 FL

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

Medicare enrollment (NPD)

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.

• Indian River Health Services Inc

  dba Behavioral Health Center

  • Psychiatry Physician
  • Vero Beach, FL
  • NPI 1710933031
  Medicare reassignment NPD
• Indian River Health Services Inc

  • Urology Physician
  • Vero Beach, FL
  • NPI 1376864108
  NPD

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1699398818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ATHABASCA DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347595909",
            "telephone_number": "954-297-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ATHABASCA DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347595909",
            "telephone_number": "954-297-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METAYER",
        "first_name": "DIANE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Pablo Meruvia Garron, DO
• Yunet Mesias
• Marie Fanfan Mesidor
• Josette Messere, DPT
• Metamorphosis Social Services LLC
• Susan Metcalf, ARNP
• Metro EMS Ambulance Services, LLC
• Metro Treatment of Florida, LP (New Season Treatment Center 31)
• Metro Treatment of Florida, LP (New Season Treatment Center 8)
• Michaella Mettellus

• Clinical Social Worker in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.