Elizabeth Anne Diesch, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

094639 Issued in NY

Practice address

975 Walton Ave
Bronx, NY 10452-9512

Phone

(347) 352-1005

NPI assigned

Jan 20, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1205466174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BATTERY PL FL 13",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041207",
            "telephone_number": "347-352-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 WALTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104529512",
            "telephone_number": "347-352-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIESCH",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-20",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "094348",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "094639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Yunuen Diego Cruz
• Judith Dien, OTR/L
• Mariam Diene
• Alan Dienstag, PSY.D.
• Anh Thai Diep, RPH
• Michelle Dieter, DO
• Marianne Dietrich, DO
• Meredith Dietrich, L.M.S.W
• Samantha Dietzel, CCC-SLP
• Henry Dieu

• Clinical Social Worker in Bronx, NY
• Providers in Bronx, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.