Diana Aviv, MSW, ACSW
Individual provider Active NPI Clinical Social Worker · Washington, DC
NPI 1013532779 · NPPES record last updated Jun 9, 2020
Key facts
- NPI
- 1013532779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 019038 (NY)
- Practice address
- 2101 Connecticut Ave NW Apt 54
Washington, DC 20008-1757 - Phone
- (202) 262-7687
- NPI assigned
- Jun 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 019038 | NY | Yes |
Addresses
Primary practice location
2101 Connecticut Ave NW Apt 54
Washington, DC 20008-1757
Mailing address
2101 Connecticut Ave NW Apt 54
Washington, DC 20008-1757
Phone (202) 262-7687
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019038 | Other | NY | NY STATE ACSW LICENCE |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.