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AUTUMN MARIE DILLER LAC NPI 1134695091


NPI Information

NPI: 1134695091
Provider Name: AUTUMN MARIE DILLER, LAC
Classification: Social Worker - 104100000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1 WOODCOCKS WAY
ST. IGNATIUS, MT
ZIP 59865
Phone: (406) 745-3525
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Autumn Marie Diller, LAC is a social worker in St. Ignatius, MT with 5 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. Autumn Marie Diller, LAC NPI is 1134695091. 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:

1 WOODCOCKS WAY
ST. IGNATIUS, MT
ZIP 59865
Phone: (406) 745-3525

The NPI 1134695091 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 10/18/2018 and was last updated on 4/7/2022.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)BBH-LAC-LIC-32707MONTANANo
2101YA0400XCounselorAddiction (Substance Use Disorder)32707MONTANANo
31041C0700XSocial WorkerClinicalLCSW-41996IDAHONo
4104100000XSocial WorkerLSW41996IDAHOYes

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: 5/5/2024

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.