Individual provider Active NPI

Diana B McCrory, LCSW

  • Clinical Social Worker
  • New Orleans, LA
National Provider Identifier
1295822310
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2397 Issued in LA
Practice address
4902 Canal St Ste 404
New Orleans, LA 70119-5874
Phone
(504) 834-6475
Fax
(504) 834-6475
NPI assigned
Oct 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2397 LA Primary

Addresses

Primary practice location

4902 Canal St Ste 404
New Orleans, LA 70119-5874

Mailing address

4902 Canal St Ste 404
New Orleans, LA 70119-5874
Phone (504) 834-6475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20081205000420 LA Practitioner - Clinical Social Worker 2062573223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4902 Canal St
Suite 404
New Orleans, LA 70119-5874
Phone (504) 813-7530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2397LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Diana B. McCrory, Inc. Clinical CurrentSince Nov 4, 2002 Accepting new patients

Locations

4902 Canal St
Ste 404
New Orleans, LA 70119
Phone (504) 444-4344

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": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1295822310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 CANAL ST STE 404",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701195874",
            "telephone_number": "504-834-6475",
            "fax_number": "504-834-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 CANAL ST STE 404",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701195874",
            "telephone_number": "504-834-6475",
            "fax_number": "504-834-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRORY",
        "first_name": "DIANA",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-09",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "2397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.