DIANE JORGENSEN SCHMIDT LCSW NPI 1245271956

NPI Information

NPI: 1245271956
Provider Name: DIANE JORGENSEN SCHMIDT, LCSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
106 S PERRY ST
STE 4
WATKINS GLEN, NY
ZIP 14891
Phone: (607) 535-8282
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Diane Jorgensen Schmidt, LCSW is a mental health counselor in Watkins Glen, NY. Diane Jorgensen Schmidt, LCSW NPI is 1245271956. 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:

106 S PERRY ST
STE 4
WATKINS GLEN, NY
ZIP 14891-615
Phone: (607) 535-8282
Fax: (607) 535-8284

The enumeration date for this NPI number is 6/10/2006 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	072659	NEW YORK	Yes
2	1041C0700X	Social Worker	Clinical	072659	NEW YORK	X

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	07300024693LI	MEDICAID	NEW YORK

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

NPI Synchronization or Removal

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