Alicia Diperna, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2102729-SUPV Issued in OH

Practice address

4325 Green Rd
Cottage 3
Highland Hills, OH 44128-4884

Phone

(330) 467-7131

Fax

(216) 591-0223

NPI assigned

Sep 19, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1265980239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 GREEN RD",
            "address_2": "COTTAGE 3",
            "city": "HIGHLAND HILLS",
            "state": "OH",
            "postal_code": "441284884",
            "telephone_number": "330-467-7131",
            "fax_number": "216-591-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 GREEN RD",
            "address_2": "COTTAGE 3",
            "city": "HIGHLAND HILLS",
            "state": "OH",
            "postal_code": "441284884",
            "telephone_number": "330-467-7131",
            "fax_number": "216-591-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPERNA",
        "first_name": "ALICIA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-19",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S1440323",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2102729-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2488428",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Coughlin, LISW
• Rebekah G Crenshaw
• Simeon Antron Cullens
• Emily Marie Daw, PT
• Louise C Demirjian, OTRL
• Solomiia Dmytrenko, LSW
• Stephanie Downing
• Holly Elizabeth Emmons Miltner, SLP
• Heather Evans-Channell, M.A., CCC-SLP
• Natalie Elise Evers

• Clinical Social Worker in Highland Hills, OH
• Providers in Highland Hills, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.