Active NPI
Diana Levy
- Social Worker
- Ithaca, NY
National Provider Identifier
1740413483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 055412
- Practice address
- 127 W State St
Ithaca, NY 14850-5427 - Phone
- (607) 273-7494
- NPI assigned
- Aug 28, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 055412 | NY | Primary |
Addresses
Primary practice location
127 W State St
Ithaca, NY 14850-5427
Mailing address
206 Elmwood Ave
Ithaca, NY 14850-4802
Phone (607) 273-2708
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055412 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family and Children Services of Ithaca | Social Worker | Past | Accepting new patients |
| Family & Children's Service of Ithaca Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Voluntary or Charitable Agency
- Ithaca, NY
- NPI 1124176680
-
- Social Worker
- Ithaca, NY
- NPI 1306077425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251417600000",
"number": "1740413483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 ELMWOOD AVE",
"city": "ITHACA",
"state": "NY",
"postal_code": "148504802",
"telephone_number": "607-273-2708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 W STATE ST",
"city": "ITHACA",
"state": "NY",
"postal_code": "148505427",
"telephone_number": "607-273-7494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVY",
"first_name": "DIANA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-28",
"last_updated": "2009-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "055412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.