Active NPI
Camille Jazmyne Diamond, LCSW
- Social Worker
- New York, NY
National Provider Identifier
1689311128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 205 Hudson St FL 9
New York, NY 10013-1810 - Phone
- (862) 419-3935
- NPI assigned
- May 17, 2022
- 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 | Primary |
Addresses
Primary practice location
205 Hudson St FL 9
New York, NY 10013-1810
Mailing address
152 Isabella Ave
Newark, NJ 07106-2029
Phone (917) 865-5461
Other practice location 1
152 Isabella Ave
Newark, NJ 07106-2029
Phone (862) 419-3935
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713484800000",
"number": "1689311128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "152 ISABELLA AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071062029",
"telephone_number": "917-865-5461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 HUDSON ST FL 9",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100131810",
"telephone_number": "862-419-3935"
}
],
"practiceLocations": [
{
"address_1": "152 Isabella Ave",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071062029",
"country_code": "US",
"telephone_number": "862-419-3935",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIAMOND",
"first_name": "CAMILLE",
"middle_name": "JAZMYNE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-17",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.