Active NPI
Diana Traub, ASW
- Clinical Social Worker
- San Jose, CA
National Provider Identifier
1083787105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 73801
- Practice address
- 232 E Gish Rd
San Jose, CA 95112-4706 - Phone
- (408) 876-4103
- NPI assigned
- Nov 16, 2006
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | 73801 | CA | Primary |
Addresses
Primary practice location
232 E Gish Rd
San Jose, CA 95112-4706
Mailing address
232 E Gish Rd
San Jose, CA 95112-4706
Phone (408) 876-4103
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41762 | Other | CA | COUNTY ID |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73801 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492128000000",
"number": "1083787105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 E GISH RD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951124706",
"telephone_number": "408-876-4103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 E GISH RD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951124706",
"telephone_number": "408-876-4103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAUB",
"first_name": "DIANA",
"name_prefix": "Miss",
"credential": "ASW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2017-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "73801",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COUNTY ID",
"identifier": "41762",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.