Diana L Etshokin, LCSW LMFT in Indianapolis, IN - Medicare Social Worker Provider

Diana L Etshokin, LCSW LMFT is a medicare enrolled "Social Worker - Clinical" provider in Indianapolis, Indiana. Her current practice location is 7007 Graham Rd, Ste 200, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 577-9208.

Diana L Etshokin is licensed to practice in Indiana (license number 34022530ALCSW) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1023177656.

Contact Information

	Diana L Etshokin, LCSW LMFT
	7007 Graham Rd, Ste 200, Indianapolis, IN 46220-4047
	(317) 577-9208
	(317) 577-9209

Healthcare Provider's Profile

Full Name	Diana L Etshokin
Gender	Female
Speciality	Social Worker - Clinical
Location	7007 Graham Rd, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023177656
Provider Enumeration Date: 12/08/2006
Last Update Date: 04/27/2024

Medicare PECOS Information:

PECOS PAC ID: 1153347372
Enrollment ID: I20051018000272

Medical Identifiers

Medical identifiers for Diana L Etshokin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023177656	NPI	-	NPPES
000000330943	Other		ANTHEM INS
114632000	Other		MAGELLAN INS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	35001172 (Indiana)	Secondary
1041C0700X	Social Worker - Clinical	34022530ALCSW (Indiana)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Diana L Etshokin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Diana L Etshokin, LCSW LMFT 7007 Graham Rd, Ste 200, Indianapolis, IN 46220-4047 Ph: (317) 577-9208	Diana L Etshokin, LCSW LMFT 7007 Graham Rd, Ste 200, Indianapolis, IN 46220-4047 Ph: (317) 577-9208

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