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LAUREL DIETTERLE LCSW
NPI 1932090602
Social Worker - Clinical in Brooklyn, NY

Active since July 11, 2025PECOS EnrolledAccepts Medicare Assignment
482 WILLOUGHBY AVE APT 1, BROOKLYN, NY 11206(815) 351-1673 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2025, Aug 4, 2025, Jul 11, 2025 (3 updates tracked since 2025).

About Laurel Dietterle Lcsw NPPES

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

LAUREL DIETTERLE LCSW (NPI 1932090602) is an individual clinical provider in Brooklyn, New York and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bayside, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1932090602
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLAUREL DIETTERLECredential: LCSW
Location Address482 WILLOUGHBY AVE APT 1Brooklyn, NY 11206-6482
Mailing Address482 Willoughby Ave Apt 1Brooklyn, NY 11206-6482 · (815) 351-1673
Phone(815) 351-1673
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 11, 2025
Last NPPES UpdateOctober 8, 20253 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
✔ NPI 1932090602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 112666 (NY)
482 WILLOUGHBY AVE APT 1, Brooklyn, NY 11206
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Secondary Practice Location 1

Location 13635 Bell Blvd Ste 203Bayside, NY 11361-2097 · Phone (718) 504-9256

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Laurel Dietterle Lcsw 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 ID6709382013
PECOS Enrollment IDI20251003003321
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.

Medicare Billing Reassignment

Medicare enrollment records show Laurel Dietterle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Comprehensive Counseling Lcsw, PLLC
11 mi
Clinical
3635 BELL BLVD STE 203
Bayside, NY 11361
  • Reassigned Medicare billing, New York enrollment
  • 163 clinicians in this Medicare group
NPI 1982798773 (718) 830-0246

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11206 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laurel Dietterle's NPI number?

The NPI number for Laurel Dietterle is 1932090602. It was assigned to this individual provider in the NPPES registry on July 11, 2025.

Where is Laurel Dietterle located?

Laurel Dietterle practices at 482 Willoughby Ave Apt 1, Brooklyn, NY 11206. The listed phone number is (815) 351-1673.

What is Laurel Dietterle's specialty?

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

Is Laurel Dietterle enrolled in Medicare?

Yes. Laurel Dietterle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Laurel Dietterle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laurel Dietterle reassigns Medicare benefits to Comprehensive Counseling Lcsw, PLLC (Bayside, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Laurel Dietterle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Laurel Dietterle was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.