NPIMap

Individual provider Active NPI

Diana Maria Gonzales-Ricard, LCSW

  • Clinical Social Worker
  • Cortlandt Manor, NY
National Provider Identifier
1326128794
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
075689 Issued in NY
Practice address
9 Conklin Avenue
Cortlandt Manor, NY 10567
Phone
(914) 362-9040
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 068390-1 NY
Clinical Social Worker 1041C0700X 075689 NY Primary

Addresses

Primary practice location

9 Conklin Avenue
Cortlandt Manor, NY 10567

Mailing address

9 Conklin Avenue
Cortlandt Manor, NY 10567
Phone (914) 362-9040

Other names 1

  • Ms. Diana Maria Gonzales Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090302000015 NY Practitioner - Clinical Social Worker 2365508256 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
068390-1NYMDClinical Social Worker
075689NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Young Adult Institute, Inc. CurrentSince Sep 1, 2011 Accepting new patients
Premier Healthcare, Inc. CurrentSince Apr 17, 2011 Accepting new patients
Montefiore Medical Center CurrentSince Jun 13, 2014 Accepting new patients
Riverview Psychiatric Medicine PC CurrentSince Sep 14, 2025 Accepting new patients
Premier Healthcare, Inc. CurrentSince Apr 17, 2011 Accepting new patients
Montefiore Medical Center CurrentSince Jun 13, 2014 Accepting new patients
Mi Alegria Psychotherapy LCSW PLLC Current Accepting new patients
Jewish Association for Services for the Aged PastSince May 25, 2025 Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients
Jewish Association for Services for the Aged PastSince Feb 7, 2018 Accepting new patients
Visiting Nurse Service of New York Hospice Care Past Accepting new patients

Locations

21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474

111 E 210th St
Bronx, NY 10467

3060 E Tremont Ave
Bronx, NY 10461
Phone (718) 239-1790

175 Remsen St
Brooklyn, NY 11201
Phone (718) 303-1300

460 W 34th St
Fl 9
New York, NY 10001
Phone (212) 273-6515

220 E 42nd St
Fl 8
New York, NY 10017
Phone (212) 273-2761

460 W 34th St
Fl 11
New York, NY 10001
Phone (212) 273-6515

220 E 42nd St
Fl 6
New York, NY 10017
Phone (212) 609-9640

370 Violet Ave
Poughkeepsie, NY 12601
Phone (845) 471-1807

411 Theodore Fremd Ave
Ste 206
Rye, NY 10580
Phone (855) 932-7473

73 Market St
Ste 3
Yonkers, NY 10710

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 12

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519257600000",
    "number": "1326128794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CONKLIN AVENUE",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "10567",
            "telephone_number": "914-362-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CONKLIN AVENUE",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "10567",
            "telephone_number": "914-362-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES-RICARD",
        "first_name": "DIANA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2018-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "068390-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "GONZALES",
            "middle_name": "MARIA",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cortlandt Manor, NY

Sources for this page

Verify at the official NPI Registry.