Active NPI
Matthew Thomas Diner, PHD
- Clinical Social Worker
- Fort Myers, FL
National Provider Identifier
1518354984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 085728
- Practice address
- 9160 Forum Corporate Pkwy Ste 350
Fort Myers, FL 33905-7808 - Phone
- (833) 872-3825
- NPI assigned
- Apr 23, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 108575 | TX | |
| Clinical Social Worker | 1041C0700X | SW19019 | FL | |
| Clinical Social Worker | 1041C0700X | 085728 | NY | Primary |
| Clinical Social Worker | 1041C0700X | SWB-2024-1303 | NM | |
| Clinical Social Worker | 1041C0700X | 6801114968 | MI |
Addresses
Primary practice location
9160 Forum Corporate Pkwy Ste 350
Fort Myers, FL 33905-7808
Mailing address
9160 Forum Corporate Pkwy Ste 350
Fort Myers, FL 33905-7808
Phone (833) 872-3825
Other names 1
- Mr. Matthew Thomas Diner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180507000375 | NY | Practitioner - Clinical Social Worker | 2264796804 | Practice locations: Jamaica, NY |
| I20220201000983 | FL | Practitioner - Clinical Social Worker | 2264796804 | Practice locations: Fort Myers, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801114968 | MI | MD | Clinical Social Worker |
| SWB-2024-1303 | NM | MD | Clinical Social Worker |
| 108575 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matthew T. Diner | Clinical | Current | Accepting new patients |
Locations
85 5th Ave
Ste 906
New York, NY 10003
Phone (917) 267-8359
Organizations & group practices 1
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.
-
- Clinical Social Worker
- New York, NY
- NPI 1548775539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757289600000",
"number": "1518354984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9160 FORUM CORPORATE PKWY STE 350",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339057808",
"telephone_number": "833-872-3825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9160 FORUM CORPORATE PKWY STE 350",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339057808",
"telephone_number": "833-872-3825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINER",
"first_name": "MATTHEW",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-23",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "108575",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW19019",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "085728",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "SWB-2024-1303",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801114968",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MATTHEW",
"last_name": "DINER",
"middle_name": "THOMAS",
"prefix": "MR.",
"credential": "LCSW, PHD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.