Karla Dieters, MSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-987 Issued in WY

Practice address

2526 Seymour Ave
Cheyenne, WY 82001-3159

Phone

(307) 634-9653

NPI assigned

Jan 21, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cheyenne Health and Wellness CenterGroup PAC ID 7315985942, 7 clinicians

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 and National Provider Directory roles.

• Cheyenne Health & Wellness Center

  • Community Health Clinic/Center
  • Cheyenne, WY
  • NPI 1386632594

  WY

  Medicare reassignment Care Compare group NPD
• Cheyenne Health & Wellness Center

  • Community/Retail Pharmacy
  • Cheyenne, WY
  • NPI 1417123167
  Care Compare group NPD

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1811228448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2526 SEYMOUR AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013159",
            "telephone_number": "307-634-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2526 SEYMOUR AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013159",
            "telephone_number": "307-634-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETERS",
        "first_name": "KARLA",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-21",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Dicamillo, LPN
• Austin Robert Dickerson
• Felicia Ann Dickerson, LCSW
• Lori Dickerson, M.S.C.E., J.D.
• Eliza Dickinson
• Digestive Health Associates of Cheyenne
• Jenny Dillingham
• Dillon Companies LLC
• Andrew Dillon
• Joseph Dillon

• All providers in Cheyenne, WY
• Clinical Social Worker in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.