Individual provider Active NPI

Diane Gianadda, LCSW

  • Clinical Social Worker
  • Niagara Falls, NY
National Provider Identifier
1124132311
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R031718-1 Issued in NY
Practice address
419 Walnut Ave
Niagara Falls, NY 14301-1725
Phone
(716) 285-1904
Fax
(716) 284-8262
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R031718-1 NY Primary

Addresses

Primary practice location

419 Walnut Ave
Niagara Falls, NY 14301-1725

Mailing address

1301 Ferry Ave
Niagara Falls, NY 14301-1825

Other identifiers 3

IdentifierTypeStateIssuer
00025142302OtherNYUNIVERA
000510506002OtherNYBC
6208151OtherNYIHA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
031718NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Louis P. Labarber, PHD, CSW, P.C. Clinical PastSince May 15, 1996 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124132311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 FERRY AVE",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 WALNUT AVE",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011725",
            "telephone_number": "716-285-1904",
            "fax_number": "716-284-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANADDA",
        "first_name": "DIANE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R031718-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00025142302",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "000510506002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "6208151",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

Verify at the official NPI Registry.