| Diane L Geisen, Lscsw, Llc | |
|
114a S 7th St Salina KS 67401-2806 | |
| (785) 827-2700 | |
| (785) 576-1199 |
| Full Name | Diane L Geisen, Lscsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 114a S 7th St, Salina, Kansas |
| Authorized Official Name and Position | Diane Geisen (OWNER/PRACTITIONER) |
| Authorized Official Contact | 7858272700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diane L Geisen, Lscsw, Llc 114a S 7th St Salina KS 67401-2806 Ph: (785) 827-2700 | Diane L Geisen, Lscsw, Llc 114a S 7th St Salina KS 67401-2806 Ph: (785) 827-2700 |
| NPI Number | 1962961540 |
|---|---|
| Provider Enumeration Date | 03/13/2019 |
| Last Update Date | 08/01/2022 |
| Certification Date | 08/01/2022 |
| Medicare PECOS PAC ID | 7012257991 |
|---|---|
| Medicare Enrollment ID | O20190313001639 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962961540 | NPI | - | NPPES |
| 1619062049 | Other | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Diane L Geisen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619062049 PECOS PAC ID: 4082789086 Enrollment ID: I20110511000201 |
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