Individual provider Active NPI

Diana Castellano, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1326173196
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R040452-1 Issued in NY
Practice address
3619 Quentin Rd
Brooklyn, NY 11234-4203
Phone
(718) 520-6460
Fax
(817) 520-6460
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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 R040452-1 NY Primary

Addresses

Primary practice location

3619 Quentin Rd
Brooklyn, NY 11234-4203

Mailing address

1049 E 96TH St
Brooklyn, NY 11236-2300
Phone (718) 272-7179

Other identifiers 1

IdentifierTypeStateIssuer
01420795MedicaidNY

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
R040452-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Service Program for Older People, Inc CurrentSince Jul 6, 2009 Accepting new patients
Arms Acres Inc Past Accepting new patients
New York Psychotherapy and Counseling Center Past Accepting new patients
Arms Acres Inc Past Accepting new patients
Service Program for Older People PastSince Apr 23, 2013 Accepting new patients

Locations

188 W 88th St
New York, NY 10024
Phone 2127877120 ext. 139

302 W 91st St
New York, NY 10024
Phone 2127877120528

Organizations & group practices 5

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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1326173196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 E 96TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112362300",
            "telephone_number": "718-272-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3619 QUENTIN RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344203",
            "telephone_number": "718-520-6460",
            "fax_number": "817-520-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLANO",
        "first_name": "DIANA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R040452-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01420795",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.