Individual provider Active NPI

Diane Lavely, LCSW BCD MSWAC

  • Addiction (Substance Use Disorder) Counselor
  • Palm Springs, CA
National Provider Identifier
1619079746
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
MSWACB5417
Practice address
2225 E Tahquitz Canyon Way
Suite 5
Palm Springs, CA 92262
Phone
(760) 416-7846
Fax
(760) 416-2061
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X MSWACB5417 Primary
Clinical Social Worker 1041C0700X LCS15773 CA
Clinical Social Worker 1041C0700X LCSW1220 OR
Clinical Social Worker 1041C0700X BCD27321

Addresses

Primary practice location

2225 E Tahquitz Canyon Way
Suite 5
Palm Springs, CA 92262

Mailing address

2225 E Tahquitz Canyon Way
Suite 5
Palm Springs, CA 92262
Phone (760) 416-7846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170321002762 CA Practitioner - Clinical Social Worker 6709161367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jewish Family Service of the DesertGroup PAC ID 3870532997, 4 clinicians

Practice addresses (Care Compare)

490 S Farrell Dr
Suite C208
Palm Springs, CA 92262-7944
Phone 7603254088115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS15773CAMDClinical Social Worker
LCSW1220ORMDClinical Social Worker

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1619079746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 E TAHQUITZ CANYON WAY",
            "address_2": "SUITE 5",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "92262",
            "telephone_number": "760-416-7846",
            "fax_number": "760-416-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 E TAHQUITZ CANYON WAY",
            "address_2": "SUITE 5",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "92262",
            "telephone_number": "760-416-7846",
            "fax_number": "760-416-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVELY",
        "first_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "LCSW BCD MSWAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "MSWACB5417",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS15773",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "LCSW1220",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "BCD27321",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.