Diane M. Digeronimo, LCSW, PA
Organization Active NPI Clinical Social Worker · Melbourne Beach, FL
NPI 1699077891 · NPPES record last updated Nov 18, 2024
Key facts
- NPI
- 1699077891
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW2181 (FL)
- Legal business name
- DIANE M. DIGERONIMO, LCSW, PA
- Practice address
- 321 Ocean Ave Ste 107
Melbourne Beach, FL 32951-2569 - Phone
- (321) 230-3023
- NPI assigned
- Nov 22, 2010
- Organization subpart
- No
Authorized official
- Name
- Diane M Digeronimo, LCSW
- Title
- Provider
- Phone
- (321) 230-3023
Practitioners 1
-
Diane M Digeronimo, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110517000635 | FL | Part B Supplier - Clinic/Group Practice | 0042496598 |
Receives reassigned benefits from 1 practitioner Practice locations: Melbourne Beach, FL |
National Provider Directory
Locations
321 Ocean Ave
Ste 107
Melbourne Beach, FL 32951
Phone (321) 230-3023
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | SW2181 | FL | Yes |
Addresses
Primary practice location
321 Ocean Ave Ste 107
Melbourne Beach, FL 32951-2569
Mailing address
321 Ocean Ave Ste 107
Melbourne Beach, FL 32951-2569
Phone (321) 230-3023
Other providers in Melbourne Beach, FL
- Collins & Montz, D.M.D., P.a.
- James Hunter Collins
- Rachel Lynn Crawford
- Kim Deffebach
- Patricia Anna Devito
- Diane M Digeronimo
- Catherine Mary Elsawaf
- Alexis Margaret Eppes
- Richard C Fernandez
- First Peak Surgical Assisting
All providers in Melbourne Beach, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.