Active NPI
Regine I Diamond, J.D., M.S.W., LCSW
- Clinical Social Worker
- Hollywood, FL
National Provider Identifier
1700934809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW 5503
- Practice address
- 3999 Sheridan St
Suite #201
Hollywood, FL 33021-3635 - Phone
- (954) 964-3259
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW 5503 | FL | Primary |
Addresses
Primary practice location
3999 Sheridan St
Suite #201
Hollywood, FL 33021-3635
Mailing address
6181 SW 56TH CT
Davie, FL 33314-7212
Phone (954) 964-3259
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
- Credentials
- Juris Doctor
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW 5503 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333843200000",
"number": "1700934809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6181 SW 56TH CT",
"city": "DAVIE",
"state": "FL",
"postal_code": "333147212",
"telephone_number": "954-964-3259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3999 SHERIDAN ST",
"address_2": "SUITE #201",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213635",
"telephone_number": "954-964-3259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAMOND",
"first_name": "REGINE",
"middle_name": "I",
"name_prefix": "Ms.",
"credential": "J.D., M.S.W., LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2012-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW 5503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.