Diana L Etshokin, LCSW LMFT is a medicare enrolled "Social Worker - Clinical" provider in Indianapolis, Indiana. Her current practice location is
7007 Graham Rd, Ste 200, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 577-9208.
Diana L Etshokin is licensed to practice in Indiana (license number 34022530ALCSW) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1023177656.
Healthcare Provider's Profile
Full Name | Diana L Etshokin |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 7007 Graham Rd, Indianapolis, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1023177656
- Provider Enumeration Date: 12/08/2006
- Last Update Date: 07/07/2016
Medicare PECOS Information:
- PECOS PAC ID: 1153347372
- Enrollment ID: I20051018000272
Medical Identifiers
Medical identifiers for Diana L Etshokin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023177656 | NPI | - | NPPES |
000000330943 | Other | | ANTHEM INS |
114632000 | Other | | MAGELLAN INS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 35001172 (Indiana) | Secondary |
1041C0700X | Social Worker - Clinical | 34022530ALCSW (Indiana) | 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 L Etshokin is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Diana L Etshokin, LCSW LMFT 7007 Graham Rd, Ste 200, Indianapolis, IN 46220-4047 Ph: (317) 577-9208 | Diana L Etshokin, LCSW LMFT 7007 Graham Rd, Ste 200, Indianapolis, IN 46220-4047 Ph: (317) 577-9208 |
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