Diane K Viveiros, MSW (LCSW/LICSW)

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

004489 Issued in CT

Practice address

184 Liberty St
Lv110
New Haven, CT 06519-1625

Phone

(203) 688-9926

NPI assigned

Oct 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Diane K Gorski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Yale New Haven Hospital

  • General Acute Care Hospital
  • New Haven, CT
  • NPI 1336139500
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023192309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 HILLCREST RD",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060333101",
            "telephone_number": "203-688-9754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 LIBERTY ST",
            "address_2": "LV110",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191625",
            "telephone_number": "203-688-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVEIROS",
        "first_name": "DIANE",
        "middle_name": "K",
        "credential": "MSW (LCSW/LICSW)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1019597",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "004489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "GORSKI",
            "middle_name": "K",
            "credential": "MSW (LCSW/LLICSW)",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Joseph Vitale, DMD
• Michelle Bolles Vitale, MSN, APRN
• Ashli Ann Vitello
• Marc Vittoria, MD, PHD
• Lawrence Anthony Vitulano, PHD
• Ana Laura Vives-Rodriguez, M.D.
• Gabriel Vizgan
• Lillian Vo
• Daniel Vodak, M.D.
• Christopher Andrew Voets, MD

• Clinical Social Worker in New Haven, CT
• Providers in New Haven, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.