Active NPI
Diana Digiacomo-Canellas, LCSW
- Clinical Social Worker
- Boca Raton, FL
National Provider Identifier
1215060892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 006422
- Practice address
- 980 N Federal Hwy Ste 110
Boca Raton, FL 33432-2704 - Phone
- (860) 324-6841
- NPI assigned
- Mar 13, 2007
- 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 | 006422 | CT | Primary |
Addresses
Primary practice location
980 N Federal Hwy Ste 110
Boca Raton, FL 33432-2704
Mailing address
231 NW 69TH St
Boca Raton, FL 33487-2390
Phone (860) 324-6841
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942393814 | Medicaid | CT | |
| 004161725 | Medicaid | CT | |
| 1174624423 | Other | CT | FACILITY NPI NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697068800000",
"number": "1215060892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 NW 69TH ST",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334872390",
"telephone_number": "860-324-6841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 N FEDERAL HWY STE 110",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334322704",
"telephone_number": "860-324-6841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIGIACOMO-CANELLAS",
"first_name": "DIANA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "006422",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1942393814",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004161725",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FACILITY NPI NUMBER",
"identifier": "1174624423",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.