Diane a Gariepy LCSW PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DIANE A GARIEPY LCSW PC

Practice address

460 Old Town Road
21-G
Port Jefferson Station, NY 11776

Phone

(631) 642-7474

NPI assigned

Apr 3, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Diane Alice Gariepy, LCSWR,ND

Title

President

Phone

(631) 642-7474

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1730574088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772235",
            "telephone_number": "631-642-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 OLD TOWN ROAD",
            "address_2": "21-G",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "11776",
            "telephone_number": "631-642-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE A GARIEPY LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-03",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "GARIEPY",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "ALICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-642-7474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSWR,ND"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amishi Desai
• Anish Desai, MD
• Vincent Paul Detrinis, D.C.
• Audrey Devaney
• William J Di Scipio, PH.D.
• Jennifer Marie Diaz, MD
• Gary P Dibenedetto, DC
• Daryl P Didio, PHD
• Gregory John Diehl, MD
• Nora Difabio

• Clinical Social Worker in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.