Active NPI
Diane K Henry, LCSW-R
- Clinical Social Worker
- East Northport, NY
National Provider Identifier
1194899716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 069843
- Practice address
- 554 Larkfield Rd
Ste 10C
East Northport, NY 11731-4205 - Phone
- (631) 923-8392
- NPI assigned
- Nov 17, 2006
- Last updated
- Mar 4, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 069843 | NY | Primary |
Addresses
Primary practice location
554 Larkfield Rd
Ste 10C
East Northport, NY 11731-4205
Mailing address
554 Larkfield Rd
Ste 10C
East Northport, NY 11731-4205
Phone (631) 923-8392
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170323001702 | NY | Practitioner - Clinical Social Worker | 3971888439 | Practice locations: East Northport, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
554 Larkfield Rd
Suite 10C
East Northport, NY 11731-4205
Phone (631) 923-8392
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alan Weisman DPM PLLC | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Foot Surgery Podiatrist
- E Northport, NY
- NPI 1356677983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488585600000",
"number": "1194899716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "554 LARKFIELD RD",
"address_2": "STE 10C",
"city": "EAST NORTHPORT",
"state": "NY",
"postal_code": "117314205",
"telephone_number": "631-923-8392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "554 LARKFIELD RD",
"address_2": "STE 10C",
"city": "EAST NORTHPORT",
"state": "NY",
"postal_code": "117314205",
"telephone_number": "631-923-8392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "DIANE",
"middle_name": "K",
"credential": "LCSW-R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2017-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "069843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Northport, NY
- Mary Kate Hannigan
- Margaux Elizabeth Hartmann, RRT
- Helping Hands Behavioral Services, LLC
- Helping Hands Consultation Services (Helping Hands Children Services)
- Helping Hands Licensed Behavior Analyst Services, PLLC
- Caelyn Herbert, DPT
- David Herbert
- Amir Herman, D.O.
- Michelle Herman, LMSW
- Nichole Hessler
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.