Individual provider Active NPI

Paolo Diamantini, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1437482361
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
080641-1 Issued in NY
Practice address
291 Broadway
Suite 1407
New York, NY 10007-1814
Phone
(917) 702-8864
NPI assigned
Sep 10, 2009
Last updated
Mar 1, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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 080641-1 NY Primary

Addresses

Primary practice location

291 Broadway
Suite 1407
New York, NY 10007-1814

Mailing address

210 Clinton Ave
Apt. 9E
Brooklyn, NY 11205-3438
Phone (917) 702-8864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Aug 30, 2023 through Aug 30, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
080641-1NYMDClinical Social Worker

Networks

  • Healthfirst Medicare Network H3359

NPI Registry JSON

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1437482361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CLINTON AVE",
            "address_2": "APT. 9E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112053438",
            "telephone_number": "917-702-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 BROADWAY",
            "address_2": "SUITE 1407",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100071814",
            "telephone_number": "917-702-8864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMANTINI",
        "first_name": "PAOLO",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-10",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080641-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.