Individual provider Active NPI

Diane Applebaum Adler, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1437299948
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR0175271 Issued in NY
Practice address
123 West 79TH St
Penthouse 1
New York, NY 10024-6485
Phone
(212) 580-2914
Fax
(609) 924-9272
NPI assigned
Feb 7, 2007
Last updated
Sep 24, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC00151100 NJ
Clinical Social Worker 1041C0700X PR0175271 NY Primary

Addresses

Primary practice location

123 West 79TH St
Penthouse 1
New York, NY 10024-6485

Mailing address

187 Sapphire Lane
Franklin Park
New Jersey, NJ 08823-1648
Phone (212) 580-2914

Other names 1

  • Diane Applebaum Adler Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 11, 2016 through Mar 11, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC00151100NJMDClinical Social Worker
PR0175271NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1437299948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 SAPPHIRE LANE",
            "address_2": "FRANKLIN PARK",
            "city": "NEW JERSEY",
            "state": "NJ",
            "postal_code": "088231648",
            "telephone_number": "212-580-2914",
            "fax_number": "609-924-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 WEST 79TH ST",
            "address_2": "PENTHOUSE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246485",
            "telephone_number": "212-580-2914",
            "fax_number": "609-924-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADLER",
        "first_name": "DIANE",
        "middle_name": "APPLEBAUM",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00151100",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR0175271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "APPLEBAUM ADLER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.