Individual provider Active NPI

Diana Hope, LMSW, CASAC

  • Social Worker
  • McDonough, GA
National Provider Identifier
1659542413
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
076762 Issued in NY
Practice address
40 Macon St
McDonough, GA 30253-3238
Phone
(770) 495-0179
NPI assigned
Mar 19, 2008
Last updated
Nov 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 076762 NY Primary

Addresses

Primary practice location

40 Macon St
McDonough, GA 30253-3238

Mailing address

2488 Grand Concourse FL 4
Bronx, NY 10458-5203
Phone (718) 584-7204

Other practice location 1

2488 Grand Concourse Fl 4
Bronx, NY 10458-5203
Phone (718) 584-7204

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
I20151014001146 NY Practitioner - Clinical Social Worker 6406165422 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Psychotherapy CurrentSince Nov 10, 2019 Accepting new patients

Locations

40 Macon St
McDonough, GA 30253
Phone (470) 231-9264

Organizations & group practices 2

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": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1659542413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2488 GRAND CONCOURSE FL 4",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585203",
            "telephone_number": "718-584-7204",
            "fax_number": "718-584-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MACON ST",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533238",
            "telephone_number": "770-495-0179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2488 Grand Concourse Fl 4",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104585203",
            "country_code": "US",
            "telephone_number": "718-584-7204",
            "fax_number": "718-584-8394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOPE",
        "first_name": "DIANA",
        "credential": "LMSW, CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "076762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

Verify at the official NPI Registry.