DIANA LAUREN ROSE LCSW
NPI 1417696550
Social Worker - Clinical in Austin, TX

Q: What is Diana Rose's NPI number?

The NPI number for Diana Rose is 1417696550. It was assigned to this individual provider in the NPPES registry on May 27, 2022.

Q: What is Diana Rose's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: Is Diana Rose enrolled in Medicare?

No. Diana Rose has opted out of Medicare through May 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Diana Rose was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 27, 2022Opted out of Medicare · through May 22, 2028

601 FARLEY DR, AUSTIN, TX 78753(512) 387-5127 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 31, 2024, May 27, 2022 (2 updates tracked since 2022).

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About Diana Lauren Rose Lcsw NPPES

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

DIANA LAUREN ROSE LCSW (NPI 1417696550) is an individual clinical provider in Austin, Texas, licensed in Texas (66062) and active in the NPI registry since May 2022. She has opted out of Medicare through May 22, 2028.

NPPES Registry Identity

NPI1417696550

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameDIANA LAUREN ROSECredential: LCSW

Location Address601 FARLEY DRAustin, TX 78753-3114

Mailing Address601 Farley DrAustin, TX 78753-3114 · (512) 387-5127

Phone(512) 387-5127

Sole ProprietorNo

Enumeration DateMay 27, 2022

Last NPPES UpdateJuly 31, 20242 updates tracked since enumeration

NPPES CertifiedJuly 31, 2024

✔ NPI 1417696550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in TX · 66062

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

601 FARLEY DR, Austin, TX 78753

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Diana Lauren Rose Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 22, 2024 through May 22, 2028.

Opt-Out Effective DateMay 22, 2024

Opt-Out In Effect ThroughMay 22, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY NICOLE OLIVER LPC

Counselor (Professional)