Active NPI
Phyllis Helene Diamond, LCSW-R
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1124095781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R-029898-1
- Practice address
- 2925 A Kings Highway
Brooklyn, NY 11229-1805 - Phone
- (718) 382-0045
- Fax
- (718) 382-0051
- NPI assigned
- Mar 2, 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | R02898 | NY | |
| Clinical Social Worker | 1041C0700X | R-029898-1 | NY | Primary |
Addresses
Primary practice location
2925 A Kings Highway
Brooklyn, NY 11229-1805
Mailing address
2925 A Kings Highway
Brooklyn, NY 11229-1805
Phone (718) 382-0045
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R02898 | NY | MD | Social Worker |
| R-029898-1 | NY | MD | Clinical Social Worker |
| 029898 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271289600000",
"number": "1124095781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 A KINGS HIGHWAY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291805",
"telephone_number": "718-382-0045",
"fax_number": "718-382-0051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2925 A KINGS HIGHWAY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291805",
"telephone_number": "718-382-0045",
"fax_number": "718-382-0051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAMOND",
"first_name": "PHYLLIS",
"middle_name": "HELENE",
"credential": "LCSW-R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-02",
"last_updated": "2010-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "R02898",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R-029898-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.