Diane Marsha Sandler-Derby, MSW, CASAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R033648 Issued in NY

Practice address

42 Daffodil LN
Wantagh, NY 11793-1802

Phone

(516) 783-8374

Fax

(516) 783-0220

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Clinical Social Worker

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1376634634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 DAFFODIL LN",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117931802",
            "telephone_number": "516-783-8374",
            "fax_number": "516-783-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 DAFFODIL LN",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117931802",
            "telephone_number": "516-783-8374",
            "fax_number": "516-783-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDLER-DERBY",
        "first_name": "DIANE",
        "middle_name": "MARSHA",
        "credential": "MSW, CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "4882",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R033648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "N54091",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "7402751",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "AS230",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridget Rynne, LMSW
• Rosalind Kay Safir, M.A.
• Minakshi Sahdev, PHARMD
• Debra Salomon, MACCCSLP
• David I Samuels, DDS
• Kristin Sanfilippo, MA SPECIAL EDUCATION
• Stacey Ann Santoro, MSED
• Jenna Santos
• Philip Michael Savarese, OTR/L
• Lauren Marie Scanlon

• Clinical Social Worker in Wantagh, NY
• Providers in Wantagh, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.