Individual provider Active NPI

Robert Diamond, LCSW-R

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1003002726
Registry record updated Dec 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R048777-1 Issued in NY
Practice address
271 Madison Ave Ste 1102
New York, NY 10016-1032
Phone
(212) 740-3689
NPI assigned
Sep 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R048777-1 NY Primary

Addresses

Primary practice location

271 Madison Ave Ste 1102
New York, NY 10016-1032

Mailing address

271 Madison Ave Ste 1102
New York, NY 10016-1032
Phone (212) 740-3689

Other identifiers 1

IdentifierTypeStateIssuer
03512118MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091013000379 NY Practitioner - Clinical Social Worker 4183778368 Reassigns benefits to 1 organization
Practice locations: Bronx, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
JGB Mental Health and Mental Retardation Services IncGroup PAC ID 1850349838, 15 clinicians

Practice addresses (Care Compare)

250 W 64TH St
FL 4
New York, NY 10023-6402
Phone (212) 769-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R048777-1NYMDClinical Social Worker
048777NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
JGB Mental Health & Mental Retardation Services Inc CurrentSince May 15, 2023 Accepting new patients
The Epilepsy Institute PastSince Apr 9, 2024 Accepting new patients
The Epilepsy Institute Clinical PastSince Apr 9, 2024 Accepting new patients

Locations

250 W 64th St
Fl 4
New York, NY 10023

250 W 64th St
New York, NY 10023
Phone (212) 769-6247

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638576000000",
    "number": "1003002726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 MADISON AVE STE 1102",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161032",
            "telephone_number": "212-740-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 MADISON AVE STE 1102",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161032",
            "telephone_number": "212-740-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-16",
        "last_updated": "2021-12-04",
        "certification_date": "2021-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R048777-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03512118",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.