Active NPI
Diane Lackey, SW
- Social Worker
- Phila, PA
National Provider Identifier
1679529762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW003075
- Practice address
- 1401 S 4TH St
Phila, PA 19147-5907 - Phone
- (215) 339-1079
- NPI assigned
- May 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW003075 | PA | Primary |
Addresses
Primary practice location
1401 S 4TH St
Phila, PA 19147-5907
Mailing address
432 N 6TH St
Phila, PA 19123-4004
Phone (215) 925-2400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW003075 | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1679529762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "432 N 6TH ST",
"city": "PHILA",
"state": "PA",
"postal_code": "191234004",
"telephone_number": "215-925-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S 4TH ST",
"city": "PHILA",
"state": "PA",
"postal_code": "191475907",
"telephone_number": "215-339-1079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACKEY",
"first_name": "DIANE",
"credential": "SW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW003075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phila, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.