Diane M Digeronimo, LCSW
Individual provider Active NPI Clinical Social Worker · Melbourne Beach, FL
NPI 1083652002 · NPPES record last updated Nov 18, 2024
Key facts
- NPI
- 1083652002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW0002181 (FL)
- Practice address
- 321 Ocean Ave Ste 107
Melbourne Beach, FL 32951-2569 - Phone
- (321) 230-3023
- NPI assigned
- Jun 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
321 Ocean Ave
Suite 107
Melbourne Beach, FL 32951-2569
Phone (321) 230-3023
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110517000681 | FL | Practitioner - Clinical Social Worker | 0749466290 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW0002181 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diane M. Digeronimo, LCSW, PA | Clinical | Current |
Accepting new patients |
Locations
2194 Highway A1A
Ste 203
Indian Harbour Beach, FL 32937
Phone (321) 777-8930
321 Ocean Ave
Ste 107
Melbourne Beach, FL 32951
Phone (321) 230-3023
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW0002181 | FL | Yes |
Addresses
Primary practice location
321 Ocean Ave Ste 107
Melbourne Beach, FL 32951-2569
Mailing address
321 Ocean Ave Ste 107
Melbourne Beach, FL 32951-2569
Phone (321) 230-3023
Other providers in Melbourne Beach, FL
- James Hunter Collins
- Rachel Lynn Crawford
- Kim Deffebach
- Patricia Anna Devito
- Diane M. Digeronimo, LCSW, PA
- Catherine Mary Elsawaf
- Alexis Margaret Eppes
- Richard C Fernandez
- First Peak Surgical Assisting
- Thomas Vincent Gale
All providers in Melbourne Beach, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.