Diana Marie Shimkus, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS11440 Issued in CA

Practice address

826 2ND St
Encinitas, CA 92024-4408

Phone

(760) 310-2920

Fax

(760) 436-9862

NPI assigned

Dec 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Diana Marie Kovalcik Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• North Coastal San Diego Licensed Clinical Social Workers, Inc.

  • Social Worker
  • Encinitas, CA
  • NPI 1619044492
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1336201441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 2ND ST",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244408",
            "telephone_number": "760-310-2920",
            "fax_number": "760-436-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 2ND ST",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244408",
            "telephone_number": "760-310-2920",
            "fax_number": "760-436-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMKUS",
        "first_name": "DIANA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS11440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "KOVALCIK",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "ACSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ingrid Grace Shequin, L.AC.
• Diane Wendy Sherman, D.M.D.
• Zubin Shetty, MD
• John Shibuya
• Wesley Shih, M.D.
• Ji Shin
• Stephanie Shin, MD
• Brittany Shinmoto
• Shoreline Recovery Center, LLC
• Davida Shreiber, LCSW

• Clinical Social Worker in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.