MS. MITZI AUDRA DIESING MSW, LMSW
NPI 1073568374
Social Worker in Jackson, MI

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
1200 N. WEST AVE., SUITE 810, JACKSON, MI 49202(517) 300-3985(517) 816-1267 Get Directions Write a Review

NPPES record last updated: October 20, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Mitzi Audra Diesing Msw, Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MITZI AUDRA DIESING MSW, LMSW (NPI 1073568374) is an individual social worker in Jackson, Michigan, licensed in Michigan (6801083573) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1073568374
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMS. MITZI AUDRA DIESINGCredential: MSW, LMSW
Location Address1200 N. WEST AVE., SUITE 810Jackson, MI 49202-2179
Mailing Address1200 N. West Ave., Suite 810Jackson, MI 49202-2179 · (517) 300-3985 · Fax (517) 816-1267
Fax(517) 816-1267
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 24, 2006
Last NPPES UpdateOctober 20, 2021
NPPES CertifiedOctober 20, 2021
NPI 1073568374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in MI · 6801083573
Definition

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.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 6801083573 (MI)
1200 N. WEST AVE., Jackson, MI 49202

Other Names 1

Former Name (1)Ms. Mitzi Audra Janukaitis

Other Identifiers 2

Other718982000MI · Magellan State Of Mi
Other8008970860MI · Traditional Bcbs

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Mitzi Audra Diesing Msw, Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496725723
PECOS Enrollment IDI20040726001365
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
224 services13 patients

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073568374, enumerated as an "individual" on May 24, 2006.

The provider is located at 1200 N. WEST AVE. SUITE 810 JACKSON, MI 49202 and the phone number is (517) 300-3985.

Social Worker with taxonomy code 104100000X.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.