Diana Siegel Schaefer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R027057 Issued in NY

Practice address

30 Puritan Dr
Port Chester, NY 10573-2504

Phone

(914) 690-9080

Fax

(914) 690-9080

NPI assigned

Apr 3, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2024 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Family Services of Westchester, Inc.

  • Community/Behavioral Health Agency
  • Port Chester, NY
  • NPI 1699727941
  NPD (past)
• Just Mind

  • Professional Counselor
  • Austin, TX
  • NPI 1962828236
  NPD (past)
• Just Mind, LLC

  • Professional Counselor
  • Austin, TX
  • NPI 1962860544
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669593968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PURITAN DR",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105732504",
            "telephone_number": "914-690-9080",
            "fax_number": "914-690-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PURITAN DR",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105732504",
            "telephone_number": "914-690-9080",
            "fax_number": "914-690-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "DIANA",
        "middle_name": "SIEGEL",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R027057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Santavicca, LMSW
• Aimie Sarkodie-Mensah-Best, MS, ATC
• Simona Saroyan, D.M.D
• Nicholas Saselu, RPH
• Jessica Schacker, OTR/L
• Mark Schonfeld, O.D.
• Jay Walter Schwarz, DDS
• Christopher Fonseca Scucato
• Premila Shah, DDS
• Valentina Shehu, PH.D.

• Clinical Social Worker in Port Chester, NY
• Providers in Port Chester, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.