Provider Demographics
NPI:1578844262
Name:JAVUREK, DIANNE KAY (MED, MSW, LSW)
Entity Type:Individual
Prefix:MS
First Name:DIANNE
Middle Name:KAY
Last Name:JAVUREK
Suffix:
Gender:F
Credentials:MED, MSW, LSW
Other - Prefix:MS
Other - First Name:DIANNE
Other - Middle Name:KAY
Other - Last Name:HUNTWORK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED, MSW, LSW
Mailing Address - Street 1:53 SALEM RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:44904-9350
Mailing Address - Country:US
Mailing Address - Phone:419-544-9776
Mailing Address - Fax:
Practice Address - Street 1:2233 ROCKY LN
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-4701
Practice Address - Country:US
Practice Address - Phone:419-281-3716
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-08
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS000288841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical