Provider Demographics
NPI:1033277256
Name:KNASIN, DIANE DECKER (MA LMHC NCC CADAC)
Entity Type:Individual
Prefix:MS
First Name:DIANE
Middle Name:DECKER
Last Name:KNASIN
Suffix:
Gender:F
Credentials:MA LMHC NCC CADAC
Other - Prefix:
Other - First Name:DIONNE
Other - Middle Name:M
Other - Last Name:DECKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA LMHC NCC CADAC
Mailing Address - Street 1:178 LAUREN DRIVE
Mailing Address - Street 2:
Mailing Address - City:SEEKONK
Mailing Address - State:MA
Mailing Address - Zip Code:02771
Mailing Address - Country:US
Mailing Address - Phone:508-336-9895
Mailing Address - Fax:508-557-1014
Practice Address - Street 1:178 LAUREN DRIVE
Practice Address - Street 2:
Practice Address - City:SEEKONK
Practice Address - State:MA
Practice Address - Zip Code:02771
Practice Address - Country:US
Practice Address - Phone:508-336-9895
Practice Address - Fax:508-557-1014
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA619101YM0800X
RIMHC00009101YM0800X
RILCDCS00030101YA0400X
MAGR10297004101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
341811OtherPHCS MULTIPLAN
73111137OtherAETNA
MALM0429OtherBC
MA1218634OtherBC MAGELLAN
10420OtherMAGELLAN
6212949OtherUHC
017915OtherVALUE OPTIONS
2028804OtherFIRST HEALTH
RI406351OtherBLUE CHIP MAGELLAN
RI71569OtherBC HEALTHMATE