Cecilia Marie Dietzler, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISWOO899 Issued in RI

Practice address

120 Wayland Ave
Suite 4B
Providence, RI 02906-4318

Phone

(401) 273-2858

NPI assigned

Jan 2, 2008

Last updated

Jan 2, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 RI

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, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peaceful Mind, Inc.

  • Clinical Social Worker
  • Providence, RI
  • NPI 1942520861
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199232000000",
    "number": "1801071311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WAYLAND AVE",
            "address_2": "SUITE 4B",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064318",
            "telephone_number": "401-273-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WAYLAND AVE",
            "address_2": "SUITE 4B",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064318",
            "telephone_number": "401-273-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETZLER",
        "first_name": "CECILIA",
        "middle_name": "MARIE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISWOO899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron Dickson, PSYD
• Tekle Didebulidze, M.D.
• Elizabeth Rose Didie, PHD
• Diane Gayle Dieffenbach, PT
• Eric William Dietsche, MD
• Joanne Difilippo, CRNA
• Alexis Louise Digasso, PSYD
• Lauren A Diggle, MOTR/L
• Christine Elyse Digiovanni, MS CCC SLP
• Christopher W Digiovanni, M.D.

• Clinical Social Worker in Providence, RI
• Providers in Providence, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.