Individual provider Active NPI

Diamond A Hines, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1376421644
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
133260 Issued in CA
Practice address
3977 Beverly Blvd Apt 104
Los Angeles, CA 90004-3998
Phone
(708) 208-0624
NPI assigned
Aug 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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 133260 CA Primary

Addresses

Primary practice location

3977 Beverly Blvd Apt 104
Los Angeles, CA 90004-3998

Mailing address

3977 Beverly Blvd Apt 104
Los Angeles, CA 90004-3998

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
I20251223000774 CA Practitioner - Clinical Social Worker 2860987294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

80 Arkay Dr
Suite 230
Hauppauge, NY 11788-3705

80 Arkay Dr
Suite 230
Hauppauge, NY 11788-3728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
133260CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Upward Health of California, PC CurrentSince Nov 17, 2025 Accepting new patients

Locations

400 Concar Dr
San Mateo, CA 94402
Phone (650) 456-5777

80 Arkay Dr
Ste 230
Hauppauge, NY 11788
Phone (631) 540-8225

Interoperability endpoints

  • Direct secure messaging: diamond.hines.1@15578.direct.athenahealth.com

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": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1376421644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3977 BEVERLY BLVD APT 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3977 BEVERLY BLVD APT 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043998",
            "telephone_number": "708-208-0624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "DIAMOND",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "133260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.