DIANA WALLACE (NPI# 1336145432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336145432 |
| Entity Type | Individual |
| Full Name | DIANA WALLACE |
| Credential | LCSW |
| Practice Address |
1 Nunn Dr University Center, Suite 440 Newport KY 41099-0002 |
| Practice Telephone | 8595725650 |
| Practice Fax Number | 8595725615 |
| Mailing Telephone | 8595725650 |
| Mailing Fax Number | 8595725615 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2012-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
3632 | KY | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
005144 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669859849 | Diana Wallace | Occupational Therapist | 1207 N 33rd St, Renton, WA 98056-1943 | 2015-04-27 |
| 1457433146 | Diana Kay Wallace | Counselor | 518 S Jeffers St Ste 7, North Platte, NE 69101-5370 | 2006-10-20 |
| 1497837645 | Diana Lynn Wallace | Dietitian, Registered | 8086 S Yale Ave, Ste. 184, Tulsa, OK 74136-9003 | 2006-10-19 |
| 1710993845 | Diana Renee Wallace | Obstetrics & Gynecology | 7900 Turin Road, Building 4, Suite 2, Rome, NY 13440-7423 | 2006-07-31 |
| 1790027852 | Diana Tyson Wallace | Counselor | 3737 Lander Rd, Cleveland, OH 44124-5712 | 2013-03-26 |
| Street Address |
1 NUNN DR UNIVERSITY CENTER, SUITE 440 |
| City | NEWPORT |
| State | KY |
| Zip Code | 41099-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730227398 | Rose A Tempel | Nurse Practitioner | 1 Nunn Dr, Northern Kentucky University, Uc#440, Newport, KY 41099-0002 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285935197 | Lisa A Barresi | Social Worker | Nunn Drive, University Center #440, Highland Heights, KY 41099 | 2010-11-09 |
| 1356571467 | Mary Monica Claire Gray | Marriage & Family Therapist | Nunn Drive, Uc 440, Health Counseling and Student Wellness, Highland Heights, KY 41099 | 2009-07-23 |
| 1487674339 | Eric Kent Brooks | Specialist/Technologist | 268 Ahc, Nunn Dr, Highland Heights, KY 41099 | 2006-07-20 |
| 1093016909 | Siobhan Ryan-perry | Social Worker | Nunn Drive, University Center #440, Highland Heights, KY 41099 | 2010-11-09 |
| 1821399734 | Northern Kentucky University | Psychologist | Nunn Drive, University Center #440, Highland Heights, KY 41099 | 2010-11-09 |
| 1891285441 | Molly Woods | Specialist/Technologist | 500 Louie B Nunn Drive, Newport, KY 41099-0001 | 2018-05-18 |
| 1518996636 | Joan Ziegelmeyer | Nurse Practitioner | 206 Albright Health Ctr, Northern Kentucky University, Newport, KY 41099-0001 | 2006-07-01 |
| 1194123687 | Northern Kentucky University Foundation Inc. | Nurse Practitioner | 206 Albright Health Ctr, Northern Ky University, Newport, KY 41099-0001 | 2014-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071221 | Logan Vashon | Physical Therapist | 4 Main St # T-2, Newport, ME 04953-4156 | 2020-10-23 |
| 1346849965 | The Healing Garden | Counselor | 2126 W Newport Pike, Newport, DE 19804-3742 | 2020-10-23 |
| 1801494760 | Elizabeth Benepe | Home Health Aide | 311 7th Ave, Newport, MN 55055-1430 | 2020-10-13 |
| 1679170922 | Katrina Marie Prive | Nurse Practitioner | 799 Salem View Heights, Newport, VT 05855 | 2020-10-08 |
| 1689281222 | Unified Medical Equipment Solutions | Durable Medical Equipment & Medical Supplies | 2000 Mclain St Ste F, Newport, AR 72112-3762 | 2020-09-28 |
| 1952917296 | Katelyn Buettner | Behavior Technician | 8622 Renee, Newport, MI 48166-9490 | 2020-09-22 |
| 1598370157 | Kyle Michael Imes | Registered Nurse | 6896 Lakeshore Dr, Newport, MI 48166-9716 | 2020-09-10 |
| 1275146177 | Newport Pharmacy LLC | Pharmacy | 57 S 2nd St, Newport, PA 17074-1402 | 2020-08-28 |
| 1023621273 | Sebasticook Family Doctors | Clinic/Center | 291 Williams Road, Newport, ME 04953 | 2020-08-27 |
| 1326659210 | Monsurat Oluwa-okougbo | Nurse Practitioner | 1565 11th Ave, Newport, MN 55055-1650 | 2020-08-13 |
| Find all providers in NEWPORT | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528547403 | Rick Knights, Licsw, LLC | Social Worker | 121 Duchess Ave, Newport, VT 05855-5517 | 2018-08-10 |
| 1568971984 | Roderic R Knights Jr. | Social Worker | 121 Duchess Ave Ste B, Newport, VT 05855 | 2017-09-28 |
| 1619406683 | Lauren A Mcgovern | Social Worker | 8 Freebody St Ste 101, Newport, RI 02840 | 2017-06-05 |
| 1063797801 | Robin Hurdle | Social Worker | 1001 Monmouth St, Newport, KY 41071-2116 | 2011-10-12 |
| 1891095584 | Nicole Beverly Ford | Social Worker | 105 S. Garden Ave., Newport, WA 99156-5055 | 2010-10-27 |
| 1598096927 | Margaret Reagan Dupont | Social Worker | 6 Dartmouth St, Newport, RI 02840-2112 | 2010-01-25 |
| 1295066793 | Mary Lee Chisholm | Social Worker | 5534 Spitfire Ct, Newport, MI 48166-9592 | 2010-01-22 |
| 1497085732 | Sarah Mermin | Social Worker | 16 Princeton St, Newport, RI 02840-1806 | 2010-01-08 |
| 1588994479 | Ellen Watters Sullivan | Social Worker | 1683 Parker Rd, Newport, VT 05855-9439 | 2009-12-28 |
| 1013247998 | Savoy Rose Jade | Social Worker | 1642 N Coast Hwy, Newport, OR 97365-2357 | 2009-12-28 |
| Find all providers in NEWPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.