Active NPI
Diversity in Practice, LCSW, PLLC
- Clinical Social Worker
- New York, NY
National Provider Identifier
1104536812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- DIVERSITY IN PRACTICE, LCSW, PLLC
- Practice address
- 127 W 30TH St FL 9
New York, NY 10001-3406 - Phone
- (646) 389-5094
- NPI assigned
- Dec 5, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melvin Julius Owens Jr., LCSW
- Title
- Founder/Ceo
- Phone
- (646) 389-5094
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
127 W 30TH St FL 9
New York, NY 10001-3406
Mailing address
127 W 30TH St FL 9
New York, NY 10001-3406
Phone (646) 389-5094
Other names 1
- Diverse Practice
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- New York, NY
- NPI 1255601969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670198400000",
"number": "1104536812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 W 30TH ST FL 9",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100013406",
"telephone_number": "646-389-5094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 W 30TH ST FL 9",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100013406",
"telephone_number": "646-389-5094"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVERSITY IN PRACTICE, LCSW, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-05",
"last_updated": "2022-12-05",
"certification_date": "2022-12-03",
"status": "A",
"authorized_official_last_name": "OWENS",
"authorized_official_first_name": "MELVIN",
"authorized_official_middle_name": "JULIUS",
"authorized_official_title_or_position": "FOUNDER/CEO",
"authorized_official_telephone_number": "646-389-5094",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Diverse Practice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.