Kathy Nathalie Diaz-Hines, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

086608 Issued in NY

Practice address

5440 Little Neck Pkwy Apt 3L
Little Neck, NY 11362-2207

Phone

(917) 749-2043

NPI assigned

Jan 23, 2009

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

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jamaica Hospital

  dba Jamaica Hospital Emergency Department - Radiology

  • Emergency Medical Services (Emergency Medicine) Physician
  • Jamaica, NY
  • NPI 1477505220
  Medicare reassignment NPD
• Queens Psychotherapy LCSW Services P.C.

  • Clinical Social Worker
  • Rego Park, NY
  • NPI 1366806705
  Medicare reassignment NPD
• Jamaica Hospital

  • Skilled Nursing Facility
  • Jamaica, NY
  • NPI 1750516795
  NPD

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1851539233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 LITTLE NECK PKWY APT 3L",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 LITTLE NECK PKWY APT 3L",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622207",
            "telephone_number": "917-749-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-HINES",
        "first_name": "KATHY",
        "middle_name": "NATHALIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-23",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Degennaro, L.M.S.W.
• Alicia Dellagiovanna, LCSW
• Charles Deng, LAC.
• Kean A Dey Foy
• Jillian L Diaz Panzella, CHHC
• Emily Ann Dibari, SLP-CCC
• Douglaston Community Pharmacy RX Inc
• Dr. Kern S. Koo, General &Family Medicine, P.C.
• Harriet C Duffy, OTR/L
• Durable Health Medical Supply LLC

• Clinical Social Worker in Little Neck, NY
• Providers in Little Neck, 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 Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.