Active NPI
Diane Giancaspro LCSW LLC
Doing business as Coastal Counseling Group
- Clinical Social Worker
- New Buffalo, MI
National Provider Identifier
1508692310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- DIANE GIANCASPRO LCSW LLC
- Doing business as
- Coastal Counseling Group
- Practice address
- 28 S Franklin St
New Buffalo, MI 49117-1554 - Phone
- (269) 405-3644
- NPI assigned
- Sep 9, 2024
- Last updated
- Sep 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diane Lorraine Giancaspro, LCSW
- Title
- Ceo
- Phone
- (269) 405-3644
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
28 S Franklin St
New Buffalo, MI 49117-1554
Mailing address
28 S Franklin St
New Buffalo, MI 49117-1554
Other names 1
- Coastal Counseling Group
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725840000000",
"number": "1508692310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 S FRANKLIN ST",
"city": "NEW BUFFALO",
"state": "MI",
"postal_code": "491171554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 S FRANKLIN ST",
"city": "NEW BUFFALO",
"state": "MI",
"postal_code": "491171554",
"telephone_number": "269-405-3644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIANE GIANCASPRO LCSW LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-09",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A",
"authorized_official_last_name": "LORRAINE GIANCASPRO",
"authorized_official_first_name": "DIANE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "269-405-3644",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Coastal Counseling Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New Buffalo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.