| Diana Lightfoot, LCSW | |
|
2200 Lake Ave, Suite 225, Fort Wayne, IN 46805-5397 | |
| (260) 726-9348 | |
| (260) 726-9340 |
| Full Name | Diana Lightfoot |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 11 Years |
| Location | 2200 Lake Ave, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568838613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34007781A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rdr Devine Llc | 9931515889 | 4 |
| Entity Name | Meridian Health Services Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992755490 PECOS PAC ID: 5597679845 Enrollment ID: O20031119000531 |
| Entity Name | Seiss Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003276643 PECOS PAC ID: 2769789692 Enrollment ID: O20160321001432 |
| Entity Name | Rdr Devine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043828411 PECOS PAC ID: 9931515889 Enrollment ID: O20210301002799 |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Lightfoot, LCSW 240 N Tillotson Ave, Muncie, IN 47304-3988 Ph: (765) 288-1928 | Diana Lightfoot, LCSW 2200 Lake Ave, Suite 225, Fort Wayne, IN 46805-5397 Ph: (260) 726-9348 |
Alia Osborn, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6526 Hillsboro Ln, Fort Wayne, IN 46835 Phone: 260-494-2205 | |
Nicholas Todoran, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1909 Carew St, Fort Wayne, IN 46805 Phone: 260-481-2800 Fax: 260-969-8442 | |
Jeri Ann Forrest, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1818 Carew St, Suite 230, Fort Wayne, IN 46805 Phone: 260-373-8000 Fax: 260-373-8003 | |
Rikki Lynn Treesh, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4918 Canterbury Dr, Fort Wayne, IN 46835 Phone: 260-241-6191 | |
Ms. Yvonne Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3262 Mallard Cove Ln, Fort Wayne, IN 46804 Phone: 260-580-8508 Fax: 260-755-1451 | |
Deborah Louise Amick, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12333 Southampton Dr, Fort Wayne, IN 46814 Phone: 260-672-0491 | |
Scott Kruse, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2121 Lake Ave, Fort Wayne, IN 46805 Phone: 260-426-5431 Fax: 260-421-1029 |