Individual provider Active NPI

Diana Patricia Gil-Chavez, LCSW

  • Clinical Social Worker
  • Woodcliff Lake, NJ
National Provider Identifier
1124732938
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06158800 Issued in NJ
Practice address
595 Chestnut Ridge Rd Ste 4
Woodcliff Lake, NJ 07677-7667
Phone
(862) 373-0435
NPI assigned
Jan 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 44SC06158800 NJ Primary

Addresses

Primary practice location

595 Chestnut Ridge Rd Ste 4
Woodcliff Lake, NJ 07677-7667

Mailing address

595 Chestnut Ridge Rd Ste 4
Woodcliff Lake, NJ 07677-7667
Phone (732) 982-2888

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

LicenseStateTypeSpecialty
44SC06158800NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Behavioral Health P.C Single Specialty CurrentSince May 7, 2024 Accepting new patients

Locations

595 Chestnut Ridge Rd
Ste 4
Woodcliff Lake, NJ 07677
Phone (201) 391-2020

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": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1124732938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 CHESTNUT RIDGE RD STE 4",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076777667",
            "telephone_number": "732-982-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 CHESTNUT RIDGE RD STE 4",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076777667",
            "telephone_number": "862-373-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIL-CHAVEZ",
        "first_name": "DIANA",
        "middle_name": "PATRICIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-06",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06158800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodcliff Lake, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.