Diane Debra Leaders, MSW, LICSW
NPI 1366196115ActiveIndividual· Social Worker, Clinical· Grand Rapids, MN
Social Worker, Clinical (MSW, LICSW) with The Roses LLC, practicing in Grand Rapids, Minnesota. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1366196115 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSW, LICSW |
| Sole proprietor | No |
| NPI issued | Feb 10, 2022 |
| Last updated in NPPES | Feb 10, 2022 |
| Certified by provider | Feb 10, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 14409 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MN) |
|---|
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- The Roses LLCVirginia, MN · 2 clinicians
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