Angela Dawn Diver, LISW, LICDC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I7092 Issued in OH

Practice address

220 S Breiel Blvd
Suite a
Middletown, OH 45044-5158

Phone

(513) 423-3327

Fax

(513) 423-3676

NPI assigned

Dec 29, 2006

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

Other identifiers 1

Other names 1

• Angela Dawn Kraft-Diver Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1831255157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S BREIEL BLVD",
            "address_2": "SUITE A",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450445158",
            "telephone_number": "513-423-3327",
            "fax_number": "513-423-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S BREIEL BLVD",
            "address_2": "SUITE A",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450445158",
            "telephone_number": "513-423-3327",
            "fax_number": "513-423-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVER",
        "first_name": "ANGELA",
        "middle_name": "DAWN",
        "credential": "LISW, LICDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I7092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH CREDENTIALING",
            "identifier": "11661621",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "KRAFT-DIVER",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Steffani Diesel-Slone, PSY. S.
• Madison Kate Dietz, OTR/L
• Thomas Dillingham Jr., LICDC
• Melissa Marie Dinsmore, RN, CCNS
• Adrianne S Dirr, OD
• Brianna Domineck
• Emanuel Carlo Donaldson
• Kristen M Donay, MS, OTR/L
• Siobhan C Dooley
• Dorionne Dorns

• Clinical Social Worker in Middletown, OH
• Providers in Middletown, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.