Dyanna Ah Quin

Individual provider Clinical Social Worker · NPI 1346772548

Dyanna Ah Quin is a Clinical Social Worker in Peridot, Arizona. Qualified in 2012, 14 years ago. Practices with Sondermind Provider Network LLC, a 1,258-clinician group and accepts Medicare assignment. Licensed in Arizona and North Dakota.

Years since qualifying: 14
Licensed in: AZ, ND
In the registry since: 2017
Specialties on file: 2

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Practice location Address checks out

106 Medicine Way
Peridot, AZ 85542
Phone: (928) 475-1500
Fax: (928) 475-1525

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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 17333 (AZ)
Clinical Social Worker	Taxonomy 1041C0700X · Licence 5431 (ND)

Record details

NPI number	1346772548
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	No
NPI enumerated	March 28, 2017
Last updated in NPPES	April 21, 2020
Certification date	April 21, 2020

Medicare enrollment

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

Medicare specialty	CLINICAL SOCIAL WORKER
Medical school	OTHER
Graduated	2012 (14 years in practice)
Group practice	Sondermind Provider Network Llc — 1258 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount
Practice locations	2 on file with Medicare