Active NPI
Diane E Paseos, MSW, LICSW
- Clinical Social Worker
- Enfield, CT
National Provider Identifier
1245460146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 005515
- Practice address
- 153 Hazard Ave
Enfield, CT 06082-4592 - Phone
- (860) 253-5020
- Fax
- (860) 253-5030
- NPI assigned
- Jul 26, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 114447 | MA | |
| Clinical Social Worker | 1041C0700X | 005515 | CT | Primary |
Addresses
Primary practice location
153 Hazard Ave
Enfield, CT 06082-4592
Mailing address
PO Box 935
East Longmeadow, MA 01028-0935
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, MA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114447 | MA | MD | Registered Nurse |
| 005515 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
| Cornerstone Behavioral Health Inc. | Current | Accepting new patients | |
| Medoptions Behavioral Health Assoc, LLC | Clinical | Past | Accepting new patients |
Locations
397 Grove St
Worcester, MA 01605
Phone (508) 752-0827
Interoperability endpoints
- dianepaseos@tdh.allscriptsdirect.net
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 and National Provider Directory roles.
-
- Clinical Psychologist
- Worcester, MA
- NPI 1902227275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334275200000",
"number": "1245460146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 935",
"city": "EAST LONGMEADOW",
"state": "MA",
"postal_code": "010280935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 HAZARD AVE",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060824592",
"telephone_number": "860-253-5020",
"fax_number": "860-253-5030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASEOS",
"first_name": "DIANE",
"middle_name": "E",
"credential": "MSW, LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-26",
"last_updated": "2012-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "114447",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "005515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; 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.