Individual provider Active NPI

Diane Carol Rosenthal, LICSW MSW

  • Clinical Social Worker
  • New Bedford, MA
National Provider Identifier
1679537344
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1016224 Issued in MA
Practice address
333 Union St
New Bedford, MA 02740
Phone
(508) 990-0852
Fax
(508) 990-4447
NPI assigned
Apr 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1016224 MA Primary

Addresses

Primary practice location

333 Union St
New Bedford, MA 02740

Mailing address

78 Cedar St
Middleboro, MA 02346
Phone (508) 947-4969

Other identifiers 6

IdentifierTypeStateIssuer
345924OtherTRICARE MHN
87726OtherUNITED BEHAVIORAL HEALTHC
PO4745OtherMABLUE CROSS
497362OtherVALUE OPTIONS
53725600OtherMAGELLAN
5668187OtherAETNA

Other names 1

  • Diane C Belden Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20051029000261 MA Practitioner - Clinical Social Worker 5294752143 Reassigns benefits to 1 organization
Practice locations: New Bedford, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

333 Union St
New Bedford, MA 02740-3665
Phone 508990085220

3594 Acushnet Ave
New Bedford, MA 02745-4005
Phone 508990085220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Bridge - a Center for Hope and Healing CurrentSince Apr 12, 2017 Accepting new patients
Linda M Palmer, Aprn, BC, LLC Past Accepting new patients
South County Psychiatry LLC Clinical Past Accepting new patients

Locations

351 Elm St
South Dartmouth, MA 02748
Phone (508) 542-4525

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1679537344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 CEDAR ST",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "02346",
            "telephone_number": "508-947-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 UNION ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "02740",
            "telephone_number": "508-990-0852",
            "fax_number": "508-990-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENTHAL",
        "first_name": "DIANE",
        "middle_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "LICSW MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1016224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE MHN",
            "identifier": "345924",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTHC",
            "identifier": "87726",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "PO4745",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "497362",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "53725600",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5668187",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "BELDEN",
            "middle_name": "C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Bedford, MA

Sources for this page

Verify at the official NPI Registry.