Active NPI
Diane L Nies, LCSW LCADC
- Clinical Social Worker
- Sparta, NJ
National Provider Identifier
1063559359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05242300
- Practice address
- 70 Sparta Ave
Ste 104
Sparta, NJ 07871-1760 - Phone
- (973) 728-3938
- Fax
- (973) 728-7913
- NPI assigned
- Jan 30, 2007
- Last updated
- Jan 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00109100 | NJ | |
| Clinical Social Worker | 1041C0700X | 44SC05242300 | NJ | Primary |
Addresses
Primary practice location
70 Sparta Ave
Ste 104
Sparta, NJ 07871-1760
Mailing address
7 Industrial Rd
Pequannock, NJ 07440-1901
Phone (973) 686-2227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 468737000 | Other | MAGELLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newbridge Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Parsippany, NJ
- NPI 1255676201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1063559359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 INDUSTRIAL RD",
"city": "PEQUANNOCK",
"state": "NJ",
"postal_code": "074401901",
"telephone_number": "973-686-2227",
"fax_number": "973-686-2240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 SPARTA AVE",
"address_2": "STE 104",
"city": "SPARTA",
"state": "NJ",
"postal_code": "078711760",
"telephone_number": "973-728-3938",
"fax_number": "973-728-7913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIES",
"first_name": "DIANE",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "LCSW LCADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "37LC00109100",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05242300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "468737000",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Sparta, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.