Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Diane Louise Rotnem, PHD, LICSW

Individual provider Clinical Social Worker · NPI 1891902979

Dr. Diane Louise Rotnem, PHD, LICSW is a Clinical Social Worker in Guilford, Connecticut. Qualified in 1989, 37 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Connecticut and Minnesota.

Years since qualifying
37
Licensed in
CT, MN
In the registry since
2007
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

42 Long Hill Rd
Guilford, CT 06437-4810
Phone: (203) 453-1572
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 000535 (CT)
Clinical Social Worker Taxonomy 1041C0700X · Licence AP08-992 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 19567 (MN)

Record details

NPI number1891902979
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LICSW
Sole proprietorYes
NPI enumeratedMay 17, 2007
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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