Diane Jo Dettloff, is a
Social Worker - Clinical based in Mancos, Colorado. Diane Jo Dettloff is licensed to practice in Colorado (license number CSW.09925569) and her current practice location is
35815 Road P.5, Mancos, Colorado. She can be reached at her office (for appointments etc.) via phone at
(970) 570-9673.
NPI number for Diane Jo Dettloff is 1245947670 and her current mailing address is 35815 Road P.5, Mancos, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245947670.
Healthcare Provider's Profile
Full Name | Diane Jo Dettloff |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 35815 Road P.5, Mancos, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245947670
- Provider Enumeration Date: 11/04/2022
- Last Update Date: 11/04/2022
Medical Identifiers
Medical identifiers for Diane Jo Dettloff such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245947670 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | CSW.09925569 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Diane Jo Dettloff is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Diane Jo Dettloff, 35815 Road P.5, Mancos, CO 81328-8798 Ph: (970) 570-9673 | Diane Jo Dettloff, 35815 Road P.5, Mancos, CO 81328-8798 Ph: (970) 570-9673 |
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