Active NPI
Diane Marie Murphy, LCSW, PH.D
- Clinical Social Worker
- Katonah, NY
National Provider Identifier
1619028495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R033412-1
- Practice address
- 223 Katonah Ave
Katonah, NY 10536-2146 - Phone
- (914) 232-4460
- Fax
- (914) 232-1592
- NPI assigned
- Jan 16, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R033412-1 | NY | Primary |
Addresses
Primary practice location
223 Katonah Ave
Katonah, NY 10536-2146
Mailing address
223 Katonah Ave
Katonah, NY 10536-2146
Phone (914) 232-4460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2014 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R033412-1 | NY | MD | Clinical Social Worker |
| 033412 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619028495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 KATONAH AVE",
"city": "KATONAH",
"state": "NY",
"postal_code": "105362146",
"telephone_number": "914-232-4460",
"fax_number": "914-232-1592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 KATONAH AVE",
"city": "KATONAH",
"state": "NY",
"postal_code": "105362146",
"telephone_number": "914-232-4460",
"fax_number": "914-232-1592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURPHY",
"first_name": "DIANE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "LCSW, PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R033412-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Katonah, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.