Jill Dieser, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

42769 Issued in MT

Practice address

1507 1St Ave W Ste E
Kalispell, MT 59901-5769

Phone

(406) 253-1807

NPI assigned

Sep 19, 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 MT

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, 2015

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 and National Provider Directory roles.

• Wake Mental Health LLC

  • Clinical Social Worker
  • Kalispell, MT
  • NPI 1700473253
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1600473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1831705318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3206",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599033206",
            "telephone_number": "406-253-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 1ST AVE W STE E",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599015769",
            "telephone_number": "406-253-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIESER",
        "first_name": "JILL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-19",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "42769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diaspense
• Dickerson Counseling, L.L.C.
• Laura Dickerson, LAC
• Scott Sheldon Dickson, D.M.D.
• Roger Joseph Diegel, MD
• Caleigh Differding, APRN
• Diversified Therapeutic Services, PLLC
• Bradley Bruce Dixon, DNP/FNP STUDENT
• Charles Dixon, M.D.
• Lisa Gail Dixon, SUDP

• Clinical Social Worker in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.