Diane L. Gorenstein, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R028142-1 Issued in NY

Practice address

7 Fireplace CT
East Northport, NY 11731-6333

Phone

(631) 462-3530

Fax

(631) 462-3530

NPI assigned

Dec 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Diane L. Fontanetta Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790848539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 FIREPLACE CT",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117316333",
            "telephone_number": "631-462-3530",
            "fax_number": "631-462-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 FIREPLACE CT",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117316333",
            "telephone_number": "631-462-3530",
            "fax_number": "631-462-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORENSTEIN",
        "first_name": "DIANE",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R028142-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "FONTANETTA",
            "middle_name": "L.",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anita Glashow
• Susan Glover
• Glow Wellness Care Medical PLLC
• Theodore Lyle Goldman, M.D.
• Miaomiao Gong
• Dianna R Gott, LCSW
• Martin I Granoff, MD
• Johanna Grant, M.S. CCC-SLP
• Nicole L Grimaldi, DPT
• Thomas Michael Gruhn

• Clinical Social Worker in East Northport, NY
• Providers in East Northport, 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 Jul 8, 2007; 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.