DIANA BELEN WADDELL (NPI# 1376061788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376061788 |
| Entity Type | Individual |
| Full Name | DIANA BELEN WADDELL |
| Credential | LCSW |
| Practice Address |
3760 Piper St Ste 1108 Anchorage AK 99508-4683 |
| Mailing Address |
Po Box 4105 Portland OR 97208-4105 |
| Practice Telephone | 9072126900 |
| Practice Fax Number | 9072126936 |
| Mailing Telephone | 8669071068 |
| Mailing Fax Number | 4259179141 |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2018-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
113663 | AK | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
26813 | MN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12915 63rd Ave N, Maple Grove, MN 553696001 | 9528268400 | 7633835802 |
| 4150 Olson Memorial Hwy Ste 420, Golden Valley, MN 554224849 | 8665222472 |
| Street Address |
3760 PIPER ST STE 1108 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-4683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992712442 | Heather Ellison Brock | Nurse Practitioner | 3760 Piper St Ste 1108, Anchorage, AK 99508-4683 | 2006-08-01 |
| 1336764836 | Providence Health & Services - Washington | Psychologist | 3760 Piper St Ste 1108, Anchorage, AK 99508-4683 | 2020-06-10 |
| 1235771593 | Crystal S Harris | Counselor | 3760 Piper St Ste 1108, Anchorage, AK 99508-4683 | 2019-10-08 |
| 1477102705 | Susan Ratcliffe | Counselor | 3760 Piper St Ste 1108, Anchorage, AK 99508-4683 | 2019-09-09 |
| 1376192070 | Theresa Rutchka | Counselor | 3760 Piper St Ste 1108, Anchorage, AK 99508-4683 | 2019-09-05 |
| 1194373464 | Phyllis Rose | Counselor | 3760 Piper St Ste 1108, Anchorage, AK 99508-4683 | 2019-08-29 |
| 1699228247 | Christopher Isaac Cox | Counselor | 3760 Piper St Ste 1108, Anchorage, AK 99508-4683 | 2016-08-01 |
| 1477934636 | Matthew Mark Huckabee | Psychiatry & Neurology | 3760 Piper St Ste 1108, Anchorage, AK 99508 | 2015-06-14 |
| 1467839183 | Nathaniel J Bell | Psychiatry & Neurology | 3760 Piper St Ste 1108, Anchorage, AK 99508-4683 | 2015-05-01 |
| 1013255868 | Jasmine Porter | Counselor | 3760 Piper St Ste 1108, Anchorage, AK 99508 | 2013-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| 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 |
|---|---|---|---|---|
| 1760029391 | Nancy Lockwood | Social Worker | 731 E 8th Ave, Anchorage, AK 99501-3772 | 2019-12-02 |
| 1487298873 | Dan Bigley | Social Worker | 8531 Craiger Ct, Anchorage, AK 99507-3640 | 2019-10-29 |
| 1134782774 | Daniel Gladden II | Social Worker | 360 W Benson Blvd Ste 300, Anchorage, AK 99503-3953 | 2019-04-18 |
| 1245723824 | Pemberton&young LLC | Social Worker | 2600 Denali St Ste 430, Anchorage, AK 99503-2754 | 2018-06-08 |
| 1295280857 | Margie Rygh | Social Worker | 4300 B St Ste 106, Anchorage, AK 99503-5933 | 2016-08-23 |
| 1902254980 | Pamela Miller | Social Worker | 380 E 11th Ave Unit 326, Anchorage, AK 99501-6518 | 2016-05-31 |
| 1639530447 | Pamela Mildred Jones | Social Worker | 13210 Old Seward Hwy, #17, Anchorage, AK 99515-4052 | 2016-03-08 |
| 1114399623 | Ruddy Taylor | Social Worker | 5391 Caribou Ave, Anchorage, AK 99508-2560 | 2015-10-22 |
| 1881064533 | Lejla Berberovic | Social Worker | 4320 Diplomacy Dr Ste 1500, Anchorage, AK 99508-5925 | 2015-10-06 |
| 1427437466 | Jennifer Flanagan | Social Worker | 110 W 15th Ave Ste A, Anchorage, AK 99501-5106 | 2015-05-22 |
| Find all providers in ANCHORAGE | ||||
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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.