MS. DIEDRE ROSE FLEMING MS MSW LICDC LSW NPI 1578050720

NPI Information

NPI: 1578050720
Provider Name: MS. DIEDRE ROSE FLEMING, MS, MSW, LICDC, LSW
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
9220 MENTOR AVE
MENTOR, OH
ZIP 44060
Phone: (216) 527-9019
Get Directions

MS. Diedre Rose Fleming, MS, MSW, LICDC, LSW is an addiction (substance use disorder) counselor in Mentor, OH with 4 years of experience. MS. Diedre Rose Fleming, MS, MSW, LICDC, LSW NPI is 1578050720. 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:

9220 MENTOR AVE
MENTOR, OH
ZIP 44060-412
Phone: (216) 527-9019

The NPI 1578050720 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 enumeration date for this NPI number is 4/13/2018 and was last updated on 7/28/2022.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LICDC.162024	OHIO	No
2	101YM0800X	Counselor	Mental Health	S.2005340	OHIO	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LCDCIII.161336	OHIO	Yes

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: 4/28/2024

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »