Individual provider Active NPI

Diane Gibfried, MSS, LSW

  • Social Worker
  • Philadelphia, PA
National Provider Identifier
1295045011
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW128213 Issued in PA
Practice address
21 S 12TH St
Philadelphia, PA 19107-3614
Phone
(215) 563-0663
NPI assigned
Oct 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW128213 PA Primary

Addresses

Primary practice location

21 S 12TH St
Philadelphia, PA 19107-3614

Mailing address

21 S 12TH St
Philadelphia, PA 19107-3614
Phone (215) 563-0663

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW128213PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson University Physicians PastSince Feb 21, 2013 Accepting new patients

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": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297382400000",
    "number": "1295045011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 S 12TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191073614",
            "telephone_number": "215-563-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 S 12TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191073614",
            "telephone_number": "215-563-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBFRIED",
        "first_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "MSS, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-14",
        "last_updated": "2011-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW128213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; 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.