Individual provider Active NPI

Diane Susan Laks, MSW

  • Clinical Social Worker
  • Parsippany, NJ
National Provider Identifier
1205995149
Registry record updated Aug 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC00132 Issued in NJ
Practice address
1259 Route 46
100A Building 2
Parsippany, NJ 07054-4913
Phone
(973) 316-9333
Fax
(973) 839-3736
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2016

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 SC00132 NJ Primary

Addresses

Primary practice location

1259 Route 46
100A Building 2
Parsippany, NJ 07054-4913

Mailing address

7 Industrial Rd
Pequannock, NJ 07440-1901
Phone (973) 839-2550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050411000205 NJ Practitioner - Clinical Social Worker 2365489515 Practice locations: Maplewood, NJ; Montville, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

170 Changebridge Rd
BLDG A7
Montville, NJ 07045-9111
Phone (973) 857-7656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC00132NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Newbridge Services, Inc. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470009600000",
    "number": "1205995149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 INDUSTRIAL RD",
            "city": "PEQUANNOCK",
            "state": "NJ",
            "postal_code": "074401901",
            "telephone_number": "973-839-2550",
            "fax_number": "973-686-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 ROUTE 46",
            "address_2": "100A BUILDING 2",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070544913",
            "telephone_number": "973-316-9333",
            "fax_number": "973-839-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKS",
        "first_name": "DIANE",
        "middle_name": "SUSAN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2016-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "SC00132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

Verify at the official NPI Registry.