Individual provider Active NPI

Diane M Harvey Anderson, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1932293867
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22860 Issued in TX
Practice address
12805 Cinchring LN
Austin, TX 78727-4534
Phone
(512) 659-8553
NPI assigned
Oct 3, 2006
Last updated
Oct 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 22860 TX Primary

Addresses

Primary practice location

12805 Cinchring LN
Austin, TX 78727-4534

Mailing address

12805 Cinchring LN
Austin, TX 78727-4534
Phone (512) 659-8553

Other practice location 1

13706 N Hwy 183 Ste 114
Austin, TX 78750-1838
Phone (512) 659-8553

Other identifiers 1

IdentifierTypeStateIssuer
108132502MedicaidTX

Other names 1

  • Ms. Diane M Harvey Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100624000304 TX Practitioner - Clinical Social Worker 6709917404 Practice locations: Austin, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22860TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1932293867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12805 CINCHRING LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787274534",
            "telephone_number": "512-659-8553",
            "fax_number": "512-331-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12805 CINCHRING LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787274534",
            "telephone_number": "512-659-8553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13706 N Hwy 183 Ste 114",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787501838",
            "country_code": "US",
            "telephone_number": "512-659-8553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARVEY ANDERSON",
        "first_name": "DIANE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-10-24",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "22860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108132502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "HARVEY",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.