Individual provider Active NPI

Diana Unger, LCSW-R

  • Clinical Social Worker
  • Centereach, NY
National Provider Identifier
1851754048
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R030975 Issued in NY
Practice address
100 Horseblock Rd
Centereach, NY 11720-4385
Phone
(631) 737-8192
NPI assigned
Apr 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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 R030975 NY Primary

Addresses

Primary practice location

100 Horseblock Rd
Centereach, NY 11720-4385

Mailing address

100 Horseblock Rd
Centereach, NY 11720-4385
Phone (631) 737-8192

Other practice location 1

55 Mulford St
Patchogue, NY 11772-3516
Phone (631) 873-9325

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

LicenseStateTypeSpecialty
R030975NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1851754048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HORSEBLOCK RD",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117204385",
            "telephone_number": "631-737-8192",
            "fax_number": "631-737-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HORSEBLOCK RD",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117204385",
            "telephone_number": "631-737-8192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Mulford St",
            "address_purpose": "LOCATION",
            "city": "Patchogue",
            "state": "NY",
            "postal_code": "117723516",
            "country_code": "US",
            "telephone_number": "631-873-9325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNGER",
        "first_name": "DIANA",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R030975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centereach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.