Individual provider Active NPI

Diana Holton

  • Clinical Social Worker
  • Troy, PA
National Provider Identifier
1659764348
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW025051 Issued in PA
Practice address
122 Elmira St
Troy, PA 16947-1202
Phone
(570) 529-6060
NPI assigned
Mar 5, 2015
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Social Worker 104100000X I.2405699 OH
Clinical Social Worker 1041C0700X 097774-01 NY
Clinical Social Worker 1041C0700X CW025051 PA Primary

Addresses

Primary practice location

122 Elmira St
Troy, PA 16947-1202

Mailing address

3237 Mountain Ridge Rd
Mainesburg, PA 16932-9517
Phone (705) 120-1645

Other practice location 1

6070 State Route 434
Apalachin, NY 13732-2446
Phone (845) 926-8640

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
I20240716002021 NY Practitioner - Clinical Social Worker 2365987260 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
097774NYMDSocial Worker
I.2405699OHMDSocial Worker
097774-01NYMDClinical Social Worker
CW025051PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling Group Clinical CurrentSince Feb 23, 2025 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Jun 18, 2024 Accepting new patients
Queens Psychotherapy LCSW Services P.C. Mental Health CurrentSince Oct 19, 2025 Accepting new patients
Troy Psychological Services, PLLC PastSince Aug 5, 2018 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

9520 63rd Rd
Ste J
Rego Park, NY 11374
Phone 718459122518

Organizations & group practices 4

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": "1425513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1659764348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3237 MOUNTAIN RIDGE RD",
            "city": "MAINESBURG",
            "state": "PA",
            "postal_code": "169329517",
            "telephone_number": "705-120-1645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 ELMIRA ST",
            "city": "TROY",
            "state": "PA",
            "postal_code": "169471202",
            "telephone_number": "570-529-6060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6070 State Route 434",
            "address_purpose": "LOCATION",
            "city": "Apalachin",
            "state": "NY",
            "postal_code": "137322446",
            "country_code": "US",
            "telephone_number": "845-926-8640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLTON",
        "first_name": "DIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-05",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.2405699",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "097774-01",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW025051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, PA

Sources for this page

Verify at the official NPI Registry.