Individual provider Active NPI

Diana Huynh, LICSW

  • Clinical Social Worker
  • Providence, RI
National Provider Identifier
1831553841
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW02615 Issued in RI
Practice address
345 Blackstone Blvd
Providence, RI 02906-4800
Phone
(860) 803-9690
NPI assigned
Apr 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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 ISW02615 RI Primary

Addresses

Primary practice location

345 Blackstone Blvd
Providence, RI 02906-4800

Mailing address

3 Nelson St
North Providence, RI 02911-1019
Phone (860) 803-9690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20180131000605 RI Practitioner - Clinical Social Worker 0244590800 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW02615RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Collaborative Services CurrentSince Aug 1, 2023 Accepting new patients
Plaza Psychology & Psychiatry, Inc. CurrentSince Dec 14, 2017 Accepting new patients
Cumberland Counseling, LLC Past Accepting new patients

Locations

816 Middle Rd
East Greenwich, RI 02818
Phone (401) 356-1940

1165 N Main St
Providence, RI 02904
Phone (401) 331-1244

75 Newman Ave
Ste 100
Rumford, RI 02916

68 Cumberland St
Ste 102
Woonsocket, RI 02895
Phone (401) 356-1940

191 Social St
Ste 180
Woonsocket, RI 02895
Phone (401) 356-1940

Organizations & group practices 3

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": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1831553841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 NELSON ST",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029111019",
            "telephone_number": "860-803-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 BLACKSTONE BLVD",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064800",
            "telephone_number": "860-803-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "DIANA",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.