Individual provider Active NPI

Tamara Anne Diamond, LCSW

  • Clinical Social Worker
  • Newhall, CA
National Provider Identifier
1346911849
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104161 Issued in CA
Practice address
24405 Chestnut St Ste 101
Newhall, CA 91321-2852
Phone
(661) 714-0775
NPI assigned
Sep 23, 2021
Last updated
Mar 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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 104161 CA Primary

Addresses

Primary practice location

24405 Chestnut St Ste 101
Newhall, CA 91321-2852

Mailing address

28490 Avenue Stanford
Valencia, CA 91355-0921
Phone (213) 663-8361

Other practice location 1

28490 Avenue Stanford
Valencia, CA 91355-0921
Phone (213) 663-8361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20241211004578 CA Practitioner - Clinical Social Worker 2466988589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Real Road IncGroup PAC ID 1052858396, 16 clinicians

Practice addresses (Care Compare)

815 W Lancaster Blvd
Suite 115
Lancaster, CA 93534-2303
Phone (661) 903-8822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104161CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Solutions Family Therapy Center Inc. CurrentSince Nov 1, 2024 Accepting new patients

Locations

815 W Lancaster Blvd
Ste 115
Lancaster, CA 93534
Phone (661) 903-8822

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1346911849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28490 AVENUE STANFORD",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913550921",
            "telephone_number": "213-663-8361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24405 CHESTNUT ST STE 101",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212852",
            "telephone_number": "661-714-0775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28490 Avenue Stanford",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913550921",
            "country_code": "US",
            "telephone_number": "213-663-8361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "TAMARA",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-23",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "104161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newhall, CA

Sources for this page

Verify at the official NPI Registry.