Individual provider Active NPI

Mary Kay Diakite, LMSW, LCSW

  • Clinical Social Worker
  • Elmira, NY
National Provider Identifier
1053797902
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
087820 Issued in NY
Practice address
1019 E Water St
Elmira, NY 14901-3332
Phone
(607) 735-5696
NPI assigned
Aug 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 058954 NY
Clinical Social Worker 1041C0700X 087820 NY Primary

Addresses

Primary practice location

1019 E Water St
Elmira, NY 14901-3332

Mailing address

1019 E Water St
Elmira, NY 14901-3332
Phone (607) 735-5696

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
I20190311001579 NY Practitioner - Clinical Social Worker 1557600467 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Pathways, Inc.Group PAC ID 7416329008, 18 clinicians

Practice addresses (Care Compare)

77 E 1St St
Corning, NY 14830-2715
Phone (607) 936-1771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
058954NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Erwin Psychiatric NP PLLC CurrentSince Mar 24, 2024 Accepting new patients
Pathways, Inc. Social Worker CurrentSince Jan 12, 2021 Accepting new patients
Family Services of Chemung County, Inc. Social Worker CurrentSince Jan 27, 2019 Accepting new patients

Locations

77 E 1st St
Corning, NY 14830
Phone (607) 936-1771

33 Denison Pkwy W
Corning, NY 14830
Phone (607) 937-3200

1019 E Water St
Elmira, NY 14901
Phone (607) 733-5696

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": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1053797902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 E WATER ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013332",
            "telephone_number": "607-735-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 E WATER ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013332",
            "telephone_number": "607-735-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAKITE",
        "first_name": "MARY KAY",
        "credential": "LMSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "058954",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.