Provider Demographics
NPI:1770277550
Name:SOLTESZ, DIANE LYNN (LISW)
Entity type:Individual
Prefix:
First Name:DIANE
Middle Name:LYNN
Last Name:SOLTESZ
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 OLIVESBURG RD
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44905-1228
Mailing Address - Country:US
Mailing Address - Phone:419-526-2100
Mailing Address - Fax:
Practice Address - Street 1:1001 OLIVESBURG RD
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44905-1228
Practice Address - Country:US
Practice Address - Phone:419-526-2100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.23044511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical