DIANE KUEPPER (NPI# 1548774847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548774847 |
| Entity Type | Individual |
| Full Name | DIANE KUEPPER |
| Credential | LCSW |
| Practice Address |
1940 Harrison Ave Panama City FL 32405-4542 |
| Practice Telephone | 8507630017 |
| Practice Fax Number | 8505326454 |
| Mailing Telephone | 8507630017 |
| Mailing Fax Number | 8505326454 |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2017-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW14847 | FL | Behavioral Health & Social Service Providers |
| Street Address |
1940 HARRISON AVE |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32405-4542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051937 | Paul Kenneth Phillips | Psychiatry & Neurology | 1940 Harrison Ave, Panama City, FL 32405-4542 | 2005-05-30 |
| 1932742491 | Emerald Coast Behavioral Hospital LLC | Psychiatric Hospital | 1940 Harrison Ave, Panama City, FL 32405-4542 | 2019-10-28 |
| 1952965352 | Jennifer Humphrey | Counselor | 1940 Harrison Ave, Panama City, FL 32405-4542 | 2019-05-01 |
| 1902460512 | Kathleen Laura Logue | Nurse Practitioner | 1940 Harrison Ave, Panama City, FL 32405-4542 | 2019-04-29 |
| 1851857015 | Kimberly Murphy | Nurse Practitioner | 1940 Harrison Ave, Panama City, FL 32405 | 2019-02-13 |
| 1619481298 | Tommy R Mcdonald Jr. | Counselor | 1940 Harrison Ave, Panama City, FL 32405-4542 | 2017-11-19 |
| 1306385570 | Robert Eugene Mayor II | Counselor | 1940 Harrison Ave, Panama City, FL 32405-4542 | 2017-02-21 |
| 1245775980 | Pola Sanchez-baker | Counselor | 1940 Harrison Ave, Panama City, FL 32405-4542 | 2017-01-05 |
| 1568907301 | Lou Ellen Johnson | Counselor | 1940 Harrison Ave, Panama City, FL 32405-4542 | 2017-01-04 |
| 1295286813 | Lea Ann Rooney | Social Worker | 1940 Harrison Ave, Panama City, FL 32405-4542 | 2016-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
| 1598325714 | Covenant Home Health Care, LLC | Home Health | 107 W. 19th Street, Panama City, FL 32405 | 2019-06-19 |
| 1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
| 1063991917 | Patricia Kagendo Mutunga | Day Training, Developmentally Disabled Services | 2813 Fairmont Dr, Panama City, FL 32405 | 2018-08-11 |
| 1871087882 | Southeastern Dermatology Group Pa | Pharmacy | 2505 Harrison Ave Ste A, Panama City, FL 32405 | 2018-06-22 |
| 1346733615 | Jessica Nicole Graham | Nurse Practitioner | 2507 Harrison Ave Unit 101, Panama City, FL 32405 | 2018-06-12 |
| 1437658424 | Coastal Mobility Transportation, LLC | Non-emergency Medical Transport (VAN) | 203 Forest Park Circle, Panama City, FL 32405 | 2018-02-06 |
| 1003314915 | The Anti-aging Clinic of Northwest Florida | Obstetrics & Gynecology | 3019 Osprey Cir, Panama City, FL 32405 | 2018-01-25 |
| 1255848487 | Sarah Theriot | Social Worker | 700 W 23rd St Bldg H, Panama City, FL 32405 | 2018-01-09 |
| 1336686054 | Angela Leake | Registered Nurse | 449 W 23 St, Panama City, FL 32405 | 2017-01-20 |
| Find all providers in zip 32405 | ||||
| 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 |
|---|---|---|---|---|
| 1245852300 | Eliza Rosburg | Social Worker | 101 Fam Camp Rd, Panama City, FL 32403-1045 | 2020-05-12 |
| 1801425137 | Cathrine Kivett Kearns | Social Worker | 4046 Ilex Cir, Panama City, FL 32405-4854 | 2020-04-07 |
| 1629637012 | Teri Lee Zechman | Social Worker | 459 Grace Ave, Panama City, FL 32401-2756 | 2019-06-10 |
| 1215446307 | Sarah Elizabeth Spikes | Social Worker | 200 Collinfurst Sq, Panama City, FL 32404-8530 | 2017-09-21 |
| 1184143331 | Michelle Marie Pierce | Social Worker | 1320 E 5th St Apt 101, Panama City, FL 32401-4376 | 2017-09-19 |
| 1598180952 | Bob Kuchta Counseling LLC | Social Worker | 429 S Tyndall Pkwy, Panama City, FL 32404-6765 | 2014-02-21 |
| 1417384769 | Yolanda M Tingler | Social Worker | 7334 Highway 2311, Panama City, FL 32404 | 2013-10-02 |
| 1881934784 | Cassie C Allen | Social Worker | 415 N Richard Jackson Blvd Ste 206b, Panama City, FL 32407-3694 | 2013-03-01 |
| 1255680658 | Letticia Harvey | Social Worker | 2711 W. 15th Street, Panama City, FL 32401-1366 | 2012-08-31 |
| 1972851889 | Kimberly Spencer | Social Worker | 2711 West 15th Street, Panama City, FL 32401 | 2012-08-27 |
| Find all providers in PANAMA CITY | ||||
| City | PANAMA CITY |
| Zip Code | 32405 |
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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.