Dianna R Gott, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

088676 Issued in NY

Practice address

7 Roosevelt Ave
East Northport, NY 11731-1146

Phone

(631) 793-6633

NPI assigned

Apr 26, 2016

Last updated

Jan 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dianna Randazzo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1659726859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ROOSEVELT AVE",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117311146",
            "telephone_number": "631-793-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ROOSEVELT AVE",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117311146",
            "telephone_number": "631-793-6633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 S Oyster Bay Rd",
            "address_purpose": "LOCATION",
            "city": "Hicksville",
            "state": "NY",
            "postal_code": "118013510",
            "country_code": "US",
            "telephone_number": "516-822-6111 x1223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOTT",
        "first_name": "DIANNA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-26",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "096931",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANNA",
            "last_name": "RANDAZZO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan Glover
• Glow Wellness Care Medical PLLC
• Theodore Lyle Goldman, M.D.
• Miaomiao Gong
• Diane L. Gorenstein, LCSW
• Martin I Granoff, MD
• Johanna Grant, M.S. CCC-SLP
• Nicole L Grimaldi, DPT
• Thomas Michael Gruhn
• Dawn Crystal Gudmundsen

• Clinical Social Worker in East Northport, NY
• Providers in East Northport, 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 Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.