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MS. MITZI AUDRA DIESING MSW LMSW NPI 1073568374


NPI Information

NPI: 1073568374
Provider Name: MS. MITZI AUDRA DIESING, MSW, LMSW
Classification: Social Worker - 104100000X
Entity Type: Individual
Organization: RECOVERY TECHNOLOGY,LLC

PECOS Registration: Yes

Address:
1200 N. WEST AVE.
SUITE 810
JACKSON, MI
ZIP 49202
Phone: (517) 300-3985
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MS. Mitzi Audra Diesing, MSW, LMSW is a social worker in Jackson, MI with 23 years of experience. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. MS. Mitzi Audra Diesing, MSW, LMSW NPI is 1073568374. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1200 N. WEST AVE.
SUITE 810
JACKSON, MI
ZIP 49202-179
Phone: (517) 300-3985
Fax: (517) 816-1267

The NPI 1073568374 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 45 minutes with patient and/or family member (HCPCS:90834)
  • Psychotherapy, 60 minutes with patient and/or family member (HCPCS:90837)
  • Group psychotherapy (HCPCS:90853)
  • Psychiatric diagnostic evaluation (HCPCS:90791)
  • Psychotherapy, 30 minutes with patient and/or family member (HCPCS:90832)

The enumeration date for this NPI number is 5/24/2006 and was last updated on 10/20/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinical6801083573MICHIGANNo
2104100000XSocial Worker6801083573MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1718982000OTHERMICHIGANMAGELLAN STATE OF MI
28008970860OTHERMICHIGANTRADITIONAL BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.