Individual provider Active NPI

Gina Marie Diarchangel, LCSW

  • Clinical Social Worker
  • Red Bank, NJ
National Provider Identifier
1720397912
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05168900 Issued in NJ
Practice address
157 Broad St Ste 301
Red Bank, NJ 07701-2013
Phone
(322) 399-2687
NPI assigned
Oct 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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 44SC05168900 NJ Primary

Addresses

Primary practice location

157 Broad St Ste 301
Red Bank, NJ 07701-2013

Mailing address

1021 Broad St # 1004
Shrewsbury, NJ 07702-4303
Phone (732) 239-9268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20041109000773 NJ Practitioner - Clinical Social Worker 2264495399 Reassigns benefits to 1 organization
Practice locations: Red Bank, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

157 Broad St
Suite 301
Red Bank, NJ 07701-2013
Phone (732) 239-9268

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Inner Peace CurrentSince Sep 1, 2019 Accepting new patients
Biobehavioral Health PastSince Oct 1, 2017 Accepting new patients
Ocean Orthopedic Associates, P.a. Past Accepting new patients
Bridges Behavioral Health Care Past Accepting new patients

Locations

157 Broad St
Ste 301
Red Bank, NJ 07701
Phone (322) 399-2687

Organizations & group practices 5

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": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1720397912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 BROAD ST # 1004",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024303",
            "telephone_number": "732-239-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 BROAD ST STE 301",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012013",
            "telephone_number": "322-399-2687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIARCHANGEL",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-05",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05168900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.