Active NPI
Diana Marie Porebski
- Social Worker
- Dunkirk, NY
National Provider Identifier
1255745295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 085338-1
- Practice address
- 51 E 3Rd St
Dunkirk, NY 14048-2201 - Phone
- (716) 366-7660
- Fax
- (716) 366-0501
- NPI assigned
- Jun 18, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 085338-1 | NY | Primary |
Addresses
Primary practice location
51 E 3Rd St
Dunkirk, NY 14048-2201
Mailing address
2560 Gerry Ellington Rd
Gerry, NY 14740-9507
Phone (716) 225-2975
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03004955 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085338-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403049600000",
"number": "1255745295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2560 GERRY ELLINGTON RD",
"city": "GERRY",
"state": "NY",
"postal_code": "147409507",
"telephone_number": "716-225-2975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 E 3RD ST",
"city": "DUNKIRK",
"state": "NY",
"postal_code": "140482201",
"telephone_number": "716-366-7660",
"fax_number": "716-366-0501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POREBSKI",
"first_name": "DIANA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-18",
"last_updated": "2014-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "085338-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03004955",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dunkirk, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.