Active NPIIndividual providerSole proprietor

Dr. Diane L Rotnem, PHD, LICSW

Social Worker, Clinical in Guilford, Connecticut

NPI Number1891902979
Practice location
42 Long Hill RD, Guilford, CT 06437-4810
Fax
—
Last updated
August 27, 2024

Diane Louise Rotnem is a Social Worker, Clinical based in Guilford, CT. Diane Louise Rotnem practices in Guilford, CT and has the professional credentials of PHD, LICSW. The NPI Number for Diane Louise Rotnem is 1891902979 and holds a License No. AP08-992 (MN). The current practice location address for Diane Louise Rotnem is 42 Long Hill RD, Guilford, CT 06437-4810 and can be reached out via phone at 203-453-1572.

Provider Profile Details

NPI Number
1891902979
Provider Name
Diane Louise Rotnem
Credential
PHD, LICSW
Provider Entity Type
Individual
Gender
Female
Address
42 Long Hill RD, Guilford, CT 06437-4810
Phone Number
203-453-1572
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Other Names
Dr. Diane Louise Rotnem, PHD (Professional Name)
Provider Enumeration Date
May 17, 2007
Last Update Date
August 27, 2024
Certification Date
August 27, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
42 Long Hill RD
Guilford, CT 06437-4810
Zip
06437-4810
Phone Number
203-453-1572
Guilford, CT 06437Get directions →

Provider Business Mailing Address Details

Address
42 Long Hill RD
Guilford, CT 06437-4810
City
Guilford
State
CT
Zip
06437-4810
Phone Number
203-453-1572

License Information

License Number (1)
AP08-992
License State (1)
MN
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
19567
License State (2)
MN
Taxonomy (2)
Social Worker, Clinical · 1041C0700X
License Number (3)
000535
License State (3)
CT
Taxonomy (3)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Diane L Rotnem, PHD, LICSW?

The NPI number of Dr. Diane L Rotnem, PHD, LICSW is 1891902979. It was assigned on May 17, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Diane L Rotnem, PHD, LICSW?

Dr. Diane L Rotnem, PHD, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MN under license number AP08-992.

Where does Dr. Diane L Rotnem, PHD, LICSW practice?

The practice location is 42 Long Hill RD, Guilford, CT 06437-4810. The office can be reached at 203-453-1572 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1891902979 directly on the NPPES registry website.

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