Active NPI
Diann Ditto Thigpen, LCSW
- Clinical Social Worker
- San Bernardino, CA
National Provider Identifier
1992013544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW85196
- Practice address
- 900 E Gilbert St
San Bernardino, CA 92415-9356 - Phone
- (909) 987-7118
- Fax
- (909) 386-0750
- NPI assigned
- Sep 16, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | LCSW85196 | CA | Primary |
Addresses
Primary practice location
900 E Gilbert St
San Bernardino, CA 92415-9356
Mailing address
21101 Dale Evans Pkwy
Apple Valley, CA 92307-9356
Phone (760) 961-1663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992013544 | Other | CA | OTHER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Diann.thigpen@dbh.sbcounty.gov | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW85196 | CA | MD | Clinical Social Worker |
Interoperability endpoints
- diann.thigpen@dbh.sbcounty.gov
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567555200000",
"number": "1992013544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21101 DALE EVANS PKWY",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923079356",
"telephone_number": "760-961-1663",
"fax_number": "760-961-6793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E GILBERT ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924159356",
"telephone_number": "909-987-7118",
"fax_number": "909-386-0750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIGPEN",
"first_name": "DIANN",
"middle_name": "DITTO",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-16",
"last_updated": "2019-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW85196",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER",
"identifier": "1992013544",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Diann.thigpen@dbh.sbcounty.gov",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "na",
"address_1": "900 E Gilbert St",
"city": "San Bernardino",
"state": "CA",
"country_code": "US",
"postal_code": "924159356",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.