MRS. ATHENA MARIE DIESCH-CHHAM


Address: 1365 Gortner Ave, Saint Paul, MN 55108-1010
Phone: 6126254168

MRS. ATHENA MARIE DIESCH-CHHAM (NPI# 1508359704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508359704
Entity Type Individual
Full Name MRS. ATHENA MARIE DIESCH-CHHAM
Credential LICSW
Practice Address 1365 Gortner Ave
Saint Paul
MN 55108-1010
Mailing Address 22426 Cantrel Way
Farmington
MN 55024-4011
Practice Telephone 6126254168
Mailing Telephone 5076761633
Enumeration Date 2018-06-12
Last Update Date 2018-06-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
20955 MN Behavioral Health & Social Service Providers

Office Location

Street Address 1365 GORTNER AVE
City SAINT PAUL
State MN
Zip Code 55108-1010

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1871821140 Angela Joyce Anderson Speech-Language Pathologist 2266 Hillside Avenue, Saint Paul, MN 55108 2009-11-25
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1982851358 Kimberly Joy Bahma Pharmacist 1295 Bandana Blvd, Suite 335, Saint Paul, MN 55108 2008-08-27
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1700077344 Archana Mani Dentist 1021 Bandana Blvd E Ste 121, Saint Paul, MN 55108 2007-08-08
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

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1992345359 Shannon Marie Lowe Social Worker 435 Dorothy Day Pl, Saint Paul, MN 55102-1002 2020-01-13
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1396399002 Shauna Jolene Wiest Social Worker 311 Ramsey St Ste 105, Saint Paul, MN 55102-2323 2019-07-31
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1790344125 Rebecca Ann Stewart Social Worker 605 Ottawa Ave, Saint Paul, MN 55107-2551 2019-06-10
1386202091 Journeys: A Pathway /to Healing, LLC Social Worker 625 Snelling Ave N # 5, Saint Paul, MN 55104-2878 2019-05-29
1174189591 Kaitlin Voight-fitzpatrick Social Worker 438 Dorothy Day Pl, Saint Paul, MN 55102-1081 2019-05-10
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City SAINT PAUL
Zip Code 55108

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Dataset Information

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.

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