Dia Deangelis

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05827100

Practice address

470 Prospect Ave Ste 207
West Orange, NJ 07052-4106

Phone

(973) 738-7404

NPI assigned

Mar 25, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1437619376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 DEPAOLO CT",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070683711",
            "telephone_number": "973-738-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 PROSPECT AVE STE 207",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524106",
            "telephone_number": "973-738-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANGELIS",
        "first_name": "DIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05827100",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "44SC05827100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1041C0700X",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nastassia Davis, MSN, RN, IBCLC
• Christina B Davitt, APN
• Medhat Dawoud, DMD
• Melissa De Gannes
• Adria De Simone, MS, CRC, LAC, CBIS
• Gerald Deangelis, LCSW
• Diane Rose Dearie, MA
• Deborah a Coy MD LLC
• Deborah R. Spey, LLC
• Edward M Decter, M.D.

• Clinical Social Worker in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.