DR. DIANE LOUISE ROTNEM (NPI# 1891902979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891902979 |
| Entity Type | Individual |
| Full Name | DR. DIANE LOUISE ROTNEM |
| Other Name | DR. DIANE LOUISE ROTNEM |
| Credential | PHD, LICSW |
| Practice Address |
1406 6th Avenue North St. Cloud Hospital St. Cloud MN 56303 |
| Practice Telephone | 3202512700 |
| Practice Fax Number | 3202295109 |
| Mailing Telephone | 3202512700 |
| Mailing Fax Number | 3202295109 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2009-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
19567 | MN | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
AP08-992 | MN | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
000535 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | ANTHEM PROVIDER ID | 14000535CT 01 | 01 |
| Street Address |
1406 6TH AVENUE NORTH ST. CLOUD HOSPITAL |
| City | ST. CLOUD |
| State | MN |
| Zip Code | 56303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922500594 | Teresa Mary Rock | Counselor | 1406 6th Avenue North, St. Cloud, MN 56303 | 2018-02-28 |
| 1477053155 | Rachel Flygare | Counselor | 1406 6th Avenue North, St. Cloud, MN 56303 | 2018-02-19 |
| 1790225787 | Kristine Lawrence | Physical Therapist | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 | 2017-02-24 |
| 1821489311 | Sandra Paulette Elwood | Registered Nurse | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1900 | 2015-02-05 |
| 1174869648 | Matthew Carl Mcclure | Psychiatry & Neurology | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 | 2013-01-02 |
| 1619221140 | Angela Marie Williams Schroden | Counselor | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 | 2012-11-06 |
| 1003187899 | Monica Marie Guggenberger | Marriage & Family Therapist | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 | 2012-01-25 |
| 1407148588 | Ryan Michael Engdahl | Psychologist | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 | 2011-05-09 |
| 1386947653 | Jessica Rose Vander Weyst | Psychologist | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 | 2010-12-08 |
| 1346543725 | Rebecca Irene Rogholt | Clinical Nurse Specialist | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 | 2010-12-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| 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 |
|---|---|---|---|---|
| 1710332671 | American Healthcare Community Behavioral Services LLC | Social Worker | 1203 Florida Ave., St. Cloud, FL 34769 | 2016-04-28 |
| 1083979207 | Dd Opatz Counseling, LLC | Social Worker | 3333 W. Division St. Ste 100, Midtown Square, St. Cloud, MN 56303 | 2012-07-13 |
| 1972699650 | Matthew Charles Steinkamp | Social Worker | 1010 W Saint Germain, Suite 580, St. Cloud, MN 56301 | 2006-10-04 |
| 1811939986 | Susan Edna Smith | Social Worker | 4801 8th St. No., Va Medical Center, St. Cloud, MN 56303 | 2006-06-12 |
| 1114986916 | Erin Paige Mcpherson | Social Worker | 1204 7th Street South, Suite 102, St. Cloud, MN 56301 | 2006-03-21 |
| 1417111279 | Craig Joseph Martin | Social Worker | 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303 | 2008-07-10 |
| 1609073659 | Elizabeth Ann Gary | Social Worker | 4801 Veterans Drive, St. Cloud, MN 56303-2015 | 2007-07-02 |
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| 1376144808 | Brianna Heilman | Social Worker | 38431 Lincoln Trl, North Branch, MN 55056-5834 | 2020-11-02 |
| 1811597784 | Nadia Sullivan | Social Worker | 250 S 4th St # 510, Minneapolis, MN 55415-1321 | 2020-10-29 |
| 1922608322 | Kari Ann Steele | Social Worker | 419 6th Ave S, Sartell, MN 56377-2020 | 2020-10-27 |
| 1972102580 | Grace Christine Haugen | Social Worker | 3408 18th Ave S, Minneapolis, MN 55407-2779 | 2020-10-23 |
| 1629677422 | Tracy Flanagan Lewis | Social Worker | 410 E 48th St # 5, Minneapolis, MN 55419-5651 | 2020-10-22 |
| 1912506858 | Rachael Girard Ryan | Social Worker | 1440 Alaska Ave, Saint Paul, MN 55116-2338 | 2020-10-21 |
| 1003415969 | Kaitlin Burke | Social Worker | 4016 Willow Rd N, Brooklyn Park, MN 55443-1240 | 2020-10-21 |
| 1366041378 | Jeanette Jean Foizie | Social Worker | 11109 127th St Se, Clear Lake, MN 55319-9491 | 2020-10-21 |
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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.