Mamadou Diallo, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

108968 Issued in NY

Practice address

2417 Pearsall Ave
Bronx, NY 10469-5429

Phone

(917) 929-0851

NPI assigned

Feb 18, 2021

Last updated

Feb 18, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Clinical Social Worker

Education

Fordham University School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Integrity Social Work Services LLCGroup PAC ID 4880609528, 74 clinicians

Jewish Board of Family and Childrens Services IncGroup PAC ID 5092607333, 127 clinicians

Puerto Rican Organization to Motivate Enlighten and Serve Addicts, IncGroup PAC ID 5395634539, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

• Integrity Social Work Services LLC

  dba Integrity Senior Services

  • Mental Health Counselor
  • Staten Island, NY
  • NPI 1972715456

  Clinical

  Medicare reassignment Care Compare group NPD
• Jewish Board of Family & Childrens Services Inc

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1689755662
  Medicare reassignment Care Compare group NPD
• Puerto Rican Organization to Motivate, Enlighten and Serve Addicts, Inc

  dba Promesa, Inc

  • Case Management Agency
  • Bronx, NY
  • NPI 1821466525
  Medicare reassignment Care Compare group NPD
• Jewish Board of Family and Children's Services, Inc.

  dba The Jewish Board

  • Addiction (Substance Use Disorder) Counselor
  • Brooklyn, NY
  • NPI 1760173579

  Clinical

  NPD
• Puerto Rican Organization to Motivate Enlighten and Serve Addicts, Inc

  dba Promesa Inc

  • Substance Abuse Rehabilitation Facility
  • Bronx, NY
  • NPI 1295911063
  NPD
• The New York and Presbyterian Hospital

  dba NewYork-Presbyterian Hospital

  • General Acute Care Hospital
  • New York, NY
  • NPI 1194832477
  NPD (past)

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1619560810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 PEARSALL AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695429",
            "telephone_number": "917-929-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 PEARSALL AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695429",
            "telephone_number": "917-929-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIALLO",
        "first_name": "MAMADOU",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "108968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fatoumata B Diallo
• Fatoumata B Diallo, R.N.
• Hassanatou Diallo
• Hassatou Diallo
• Kani Diallo
• Mamadou Diallo
• Mamadou Diallo, PA-C
• Mariama Diallo
• Moussa Diallo
• Niagale Diallo

• Clinical Social Worker in Bronx, NY
• Providers in Bronx, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.