Individual provider Active NPI

Diane Light Spiro, LCSW-R

  • Clinical Social Worker
  • Poughkeepsie, NY
National Provider Identifier
1225092174
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R043943-1 Issued in NY
Practice address
160 Academy St Apt 9B
Poughkeepsie, NY 12601-4597
Phone
(914) 474-8659
NPI assigned
Apr 16, 2006
Last updated
Sep 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2025

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 R043943-1 NY Primary

Addresses

Primary practice location

160 Academy St Apt 9B
Poughkeepsie, NY 12601-4597

Mailing address

160 Academy St Apt 9B
Poughkeepsie, NY 12601-4597
Phone (914) 474-8659

Other identifiers 1

IdentifierTypeStateIssuer
02767480MedicaidNY

Other names 1

  • Diane Light-Spiro Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050701000941 NY Practitioner - Clinical Social Worker 0547206203 Practice locations: Poughkeepsie, NY; Wappingers Falls, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

160 Academy St
Apt 9B
Poughkeepsie, NY 12601-4597
Phone (914) 474-8659

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R043943-1NYMDClinical Social Worker
043943NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Access: Supports for Living Inc Past Accepting new patients
Susan M. Perkins NP Psychiatry Counseling Services, PLLC Past Accepting new patients
Access: Supports for Living Inc. Past Accepting new patients
Michael Lapidus, MD PC Past Accepting new patients
Donna Johanson LCSW LLC Clinical Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1145145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756684800000",
    "number": "1225092174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 ACADEMY ST APT 9B",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014597",
            "telephone_number": "914-474-8659",
            "fax_number": "888-972-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 ACADEMY ST APT 9B",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014597",
            "telephone_number": "914-474-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIRO",
        "first_name": "DIANE",
        "middle_name": "LIGHT",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-16",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R043943-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02767480",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "LIGHT-SPIRO",
            "credential": "LCSWR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.