Active NPI
Diane Mary Svenning, LCSW, LCAC
- Clinical Social Worker
- Norwich, CT
National Provider Identifier
1821118548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 000704
- Practice address
- 331 Main St
Norwich, CT 06360-5836 - Phone
- (860) 889-8346
- Fax
- (860) 889-2658
- NPI assigned
- Mar 29, 2007
- 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 | 000704 | CT | Primary |
Addresses
Primary practice location
331 Main St
Norwich, CT 06360-5836
Mailing address
10 Orchard LN
Mystic, CT 06355-2432
Phone (860) 443-5328
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- United Community and Family Services, Inc
Practice addresses (Care Compare)
47 Town St
Norwich, CT 06360-2323
Phone (860) 892-7042
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000704 | CT | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821118548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 ORCHARD LN",
"city": "MYSTIC",
"state": "CT",
"postal_code": "063552432",
"telephone_number": "860-443-5328",
"fax_number": "860-443-6031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 MAIN ST",
"city": "NORWICH",
"state": "CT",
"postal_code": "063605836",
"telephone_number": "860-889-8346",
"fax_number": "860-889-2658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SVENNING",
"first_name": "DIANE",
"middle_name": "MARY",
"name_prefix": "Ms.",
"credential": "LCSW, LCAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "000704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.