Diana Kay Anderson, LCSW is a
Social Worker - Clinical based in Peoria, Illinois. Diana Kay Anderson is licensed to practice in Illinois (license number 149012844) and her current practice location is
3020 W Willow Knolls Dr, Peoria, Illinois. She can be reached at her office (for appointments etc.) via phone at
(309) 681-5652.
NPI number for Diana Kay Anderson is 1619190006 and her current mailing address is 129 N Washington St, Kewanee, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619190006.
Healthcare Provider's Profile
Full Name | Diana Kay Anderson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3020 W Willow Knolls Dr, Peoria, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619190006
- Provider Enumeration Date: 04/11/2007
- Last Update Date: 01/06/2010
Medical Identifiers
Medical identifiers for Diana Kay Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619190006 | NPI | - | NPPES |
150.009965 | Other | IL | DPR LICENSE |
370984175 | Other | IL | BWAY, INC FEIN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 150.009965 (Illinois) | Secondary |
104100000X | Social Worker | 150.009965 (Illinois) | Secondary |
1041C0700X | Social Worker - Clinical | 149012844 (Illinois) | 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. Diana Kay Anderson 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 |
Diana Kay Anderson, LCSW 129 N Washington St, Kewanee, IL 61443-1851 Ph: (309) 883-1646 | Diana Kay Anderson, LCSW 3020 W Willow Knolls Dr, Peoria, IL 61614-8127 Ph: (309) 681-5652 |
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