Individual provider Active NPI

Diana Uthenwoldt Planck

  • Social Worker
  • Bethel, OH
National Provider Identifier
1841710555
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S1700466 Issued in OH
Practice address
200 W Plane St
Bethel, OH 45106-1308
Phone
(513) 770-1705
NPI assigned
Jun 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S1700466 OH Primary

Addresses

Primary practice location

200 W Plane St
Bethel, OH 45106-1308

Mailing address

431 Ohio Pike Ste 312
Cincinnati, OH 45255-3629
Phone (513) 770-1705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20190930001550 OH Practitioner - Clinical Social Worker 9032449301 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S1700466OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Counseling Solutions, LLC CurrentSince Sep 27, 2021 Accepting new patients

Locations

200 W Plane St
Ste 201
Bethel, OH 45106
Phone (513) 770-1705

431 Ohio Pike
Ste 312
Cincinnati, OH 45255
Phone (513) 335-3650

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1841710555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 OHIO PIKE STE 312",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553629",
            "telephone_number": "513-770-1705",
            "fax_number": "513-459-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W PLANE ST",
            "city": "BETHEL",
            "state": "OH",
            "postal_code": "451061308",
            "telephone_number": "513-770-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTHENWOLDT PLANCK",
        "first_name": "DIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-23",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S1700466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel, OH

Sources for this page

Verify at the official NPI Registry.