Autumn Marie Diller, LAC
NPI 1134695091ActiveIndividual· Social Worker· St. Ignatius, MT
Social Worker (LAC) with St Johns Lutheran Hospital Inc, practicing in St. Ignatius, Montana. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1134695091 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LAC |
| Sole proprietor | Yes |
| NPI issued | Oct 18, 2018 |
| Last updated in NPPES | Apr 7, 2022 |
| Certified by provider | Apr 7, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | LSW41996 | ID |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | BBH-LAC-LIC-32707 | MT |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 32707 | MT |
| Social Worker, Clinical | 1041C0700X | LCSW-41996 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MT) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- St Johns Lutheran Hospital IncLibby, MT · 34 clinicians