Diana Anklow-Bass

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

082195 Issued in NY

Practice address

11 Ruey PL
Plainview, NY 11803-3216

Phone

(917) 603-9205

NPI assigned

Nov 17, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416182400000",
    "number": "1295131316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 RUEY PL",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118033216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RUEY PL",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118033216",
            "telephone_number": "917-603-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANKLOW-BASS",
        "first_name": "DIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriella Andolfo
• Gary Ritchie Andrews, MD
• Viviana Noemi Angamarca Armijos, MD
• Cristina Maria Angst, AUD
• Jennifer Hanser Anicito, MS, CCC-SLP TSHH
• Anna Massage Therapy PC
• Vincent W Ansanelli, MD
• Joseph Ralph Anticaglia, M.D.
• Josephine Antonio, NP
• Melissa Amy Antonucci, LCSW

• Clinical Social Worker in Plainview, NY
• Providers in Plainview, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.

Verify at the official NPI Registry.