Individual provider Active NPI

Hedy Marsha Diamond, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1710095328
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R0298971 Issued in NY
Practice address
280 First Ave.
2C
New York, NY 10009-1835
Phone
(212) 677-1243
Fax
(212) 677-1243
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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 R0298971 NY Primary

Addresses

Primary practice location

280 First Ave.
2C
New York, NY 10009-1835

Mailing address

280 1St Ave
Apt 2C
New York, NY 10009-1835
Phone (212) 677-1243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20120227000717 NY Practitioner - Clinical Social Worker 4284892977 Practice locations: New York, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0298971NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1710095328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 1ST AVE",
            "address_2": "APT 2C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100091835",
            "telephone_number": "212-677-1243",
            "fax_number": "212-677-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 FIRST AVE.",
            "address_2": "2C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100091835",
            "telephone_number": "212-677-1243",
            "fax_number": "212-677-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "HEDY",
        "middle_name": "MARSHA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0298971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.