Individual provider Active NPI

David Travis Diglio, L.C.S.W., A.C.S.W.

  • Clinical Social Worker
  • Suwanee, GA
National Provider Identifier
1477528982
Registry record updated Jan 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW003798 Issued in GA
Practice address
5000 Research CT
Suite 725
Suwanee, GA 30024-6609
Phone
(770) 910-0577
NPI assigned
Feb 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SW7880 FL
Clinical Social Worker 1041C0700X CSW003798 GA Primary

Addresses

Primary practice location

5000 Research CT
Suite 725
Suwanee, GA 30024-6609

Mailing address

1595 Peachtree Pkwy
Suite 204-151
Cumming, GA 30041-9584
Phone (770) 910-0577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080128000581 GA Practitioner - Clinical Social Worker 6002846003 Practice locations: Kennesaw, GA
I20210708002319 NY Practitioner - Clinical Social Worker 6002846003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Josephs Hospital Health CenterGroup PAC ID 9234043324, 107 clinicians

Practice addresses (Care Compare)

5100 W Taft Rd
Suite 1F North Syracuse Link Program
Liverpool, NY 13088-4868
Phone (315) 458-6111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW7880FLMDMental Health Counselor
CSW003798GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Hospital Health Center CurrentSince Aug 8, 2021 Accepting new patients
St Josephs Medical PC Past Accepting new patients

Locations

5100 W Taft Rd
Ste 1F
Liverpool, NY 13088
Phone (315) 458-6111

301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200

301 Prospect Ave
Ofc
Syracuse, NY 13203
Phone (315) 448-2876

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232928000000",
    "number": "1477528982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 PEACHTREE PKWY",
            "address_2": "SUITE 204-151",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300419584",
            "telephone_number": "770-910-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 RESEARCH CT",
            "address_2": "SUITE 725",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246609",
            "telephone_number": "770-910-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGLIO",
        "first_name": "DAVID",
        "middle_name": "TRAVIS",
        "credential": "L.C.S.W., A.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-18",
        "last_updated": "2009-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW7880",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.