Individual provider Active NPI

Diane Macaluso, LCSW

  • Clinical Social Worker
  • Wantagh, NY
National Provider Identifier
1629430566
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089909 Issued in NY
Practice address
1719 Lehigh Rd
Wantagh, NY 11793-3514
Phone
(516) 404-9269
NPI assigned
Mar 21, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 089909 NY Primary

Addresses

Primary practice location

1719 Lehigh Rd
Wantagh, NY 11793-3514

Mailing address

1719 Lehigh Rd
Wantagh, NY 11793-3514
Phone (516) 404-9269

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20201113002456 NY Practitioner - Clinical Social Worker 7416367891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1719 Lehigh Rd
Wantagh, NY 11793-3514
Phone (516) 404-9269

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089909NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Diane Macaluso LCSW P.C. Clinical CurrentSince Jan 1, 2024 Accepting new patients
Long Island Consultation Center, Inc. Clinical Past Accepting new patients
Douglas a. Byrnes, MD, PC PastSince Nov 12, 2007 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1458518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1629430566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 LEHIGH RD",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933514",
            "telephone_number": "516-404-9269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 LEHIGH RD",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933514",
            "telephone_number": "516-404-9269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACALUSO",
        "first_name": "DIANE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-21",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

Verify at the official NPI Registry.