Dianna Stallings

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34009483A Issued in IN

Practice address

17 N 5TH Ave # 1029
Beech Grove, IN 46107-1325

Phone

(619) 302-3697

NPI assigned

Sep 8, 2017

Last updated

Jan 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Heart Space Mental Health

  dba Heart Space Mental Health LLC

  • Community/Behavioral Health Agency
  • Beech Grove, IN
  • NPI 1841906740
  NPD Authorized official
• Greenbrier Academy for Girls

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Pence Springs, WV
  • NPI 1154780294
  NPD (past)

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1922526144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8520 ALLISON POINTE BLVD STE 220",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504299",
            "telephone_number": "619-302-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 N 5TH AVE # 1029",
            "city": "BEECH GROVE",
            "state": "IN",
            "postal_code": "461071325",
            "telephone_number": "619-302-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLINGS",
        "first_name": "DIANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00945133",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34009483A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Francis Hospital & Health Centers (Beech Grove Internal Medicine)
• St. Francis Hospital and Health Centers (Franciscan St. Francis Health - Beech Grove)
• St. Francis Hospital and Health Centers (St. Francis Behavioral Health Services)
• St. Francis Hospital and Health Centers (Franciscan St. Francis Health - Beech Grove)
• St. Francis Hospital and Health Centers (Franciscan Spine Center)
• Mary Kathaleen Steinke, NP
• Linda L Strawbridge, M.D.
• Robert C Stump, M.D.
• Larry G Swoverland, RPH
• The Health and Hospital Corporation of Marion County (Beech Grove Meadows)

• Clinical Social Worker in Beech Grove, IN
• Providers in Beech Grove, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.