Active NPI
Diane H. Phinney, LCSW
- Clinical Social Worker
- Inverness, FL
National Provider Identifier
1508843780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW11777
- Practice address
- 815 Hemlock St
Inverness, FL 34452-5940 - Phone
- (352) 341-3435
- Fax
- (352) 291-9536
- NPI assigned
- Dec 28, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 002067 | MO | |
| Clinical Social Worker | 1041C0700X | SW11777 | FL | Primary |
Addresses
Primary practice location
815 Hemlock St
Inverness, FL 34452-5940
Mailing address
815 Hemlock St
Inverness, FL 34452-5940
Phone (352) 341-3435
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49625743 | Medicaid | MO | |
| 493625701 | Medicaid | MO | |
| 493625750 | Medicaid | MO | |
| 493625727 | Medicaid | MO | |
| 493625719 | Medicaid | MO | |
| 493625735 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW11777 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402617600000",
"number": "1508843780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 HEMLOCK ST",
"city": "INVERNESS",
"state": "FL",
"postal_code": "344525940",
"telephone_number": "352-341-3435",
"fax_number": "352-291-9536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 HEMLOCK ST",
"city": "INVERNESS",
"state": "FL",
"postal_code": "344525940",
"telephone_number": "352-341-3435",
"fax_number": "352-291-9536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHINNEY",
"first_name": "DIANE",
"middle_name": "H.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-28",
"last_updated": "2014-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "002067",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW11777",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "49625743",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "493625701",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "493625750",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "493625727",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "493625719",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "493625735",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Inverness, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.