Diana Melisa Idelson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C012223 Issued in NC

Practice address

4320 Southport Supply Rd SE Ste 200
Southport, NC 28461-8056

Phone

(910) 457-0800

Fax

(910) 457-1072

NPI assigned

Aug 18, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sapia Psychological Associates IncGroup PAC ID 1557524238, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sapia Psychological Associates Inc.

  • Clinical Psychologist
  • Southport, NC
  • NPI 1114151990
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1003062415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 PEPPERBERRY LN",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284618481",
            "telephone_number": "845-537-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 SOUTHPORT SUPPLY RD SE STE 200",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284618056",
            "telephone_number": "910-457-0800",
            "fax_number": "910-457-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDELSON",
        "first_name": "DIANA",
        "middle_name": "MELISA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Thomas Holland, MD
• Ginny Hopkins, COTA/L
• Howard Eye Associates, OD PA
• John Michael Howard, OD
• Elliott Humphries
• Intracoastal Executive Wellness
• Charlene D Irvin
• John D Irvin, MD
• Jo Revelle Murray Isenhour, MED CCC-SLP
• J Arthur Dosher Memorial Hospital

• Clinical Social Worker in Southport, NC
• Providers in Southport, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.