Active NPI
Diane Lutz Dicubellis, PHD
- Clinical Social Worker
- Albuquerque, NM
National Provider Identifier
1578579074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I-06312
- Practice address
- 8200 Mountain Rd NE
Albuquerque, NM 87110-7843 - Phone
- (505) 830-6500
- Fax
- (505) 830-6527
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I-06312 | NM | Primary |
Addresses
Primary practice location
8200 Mountain Rd NE
Albuquerque, NM 87110-7843
Mailing address
7010 Phoenix Ave NE Apt 214
Albuquerque, NM 87110-3559
Phone (505) 720-6869
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02322374 | Medicaid | NM |
Other names 1
- Dr. Diane Garcia
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I-06312 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Firespirit, Inc | Clinical | Past | Accepting new patients |
| Ayudar Services LLC | Clinical | Past | Accepting new patients |
| Firespirit Inc | Clinical | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Corrales, NM
- NPI 1770899817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538956800000",
"number": "1578579074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7010 PHOENIX AVE NE APT 214",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871103559",
"telephone_number": "505-720-6869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 MOUNTAIN RD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871107843",
"telephone_number": "505-830-6500",
"fax_number": "505-830-6527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICUBELLIS",
"first_name": "DIANE",
"middle_name": "LUTZ",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2018-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "I-06312",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02322374",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DIANE",
"last_name": "GARCIA",
"prefix": "DR.",
"credential": "PHD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.