Teresa Ann Diamond, M.S.W. , L.I.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC301455 Issued in DC

Practice address

4707 Connecticut Ave NW
Ste. 205
Washington, DC 20008-5631

Phone

(202) 966-1381

Fax

(202) 338-3363

NPI assigned

Feb 29, 2008

Last updated

Feb 29, 2008By the provider in NPPES

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. Tybe Ann Diamond Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2017 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1861661209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 CONNECTICUT AVE NW",
            "address_2": "STE. 205",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200085631",
            "telephone_number": "202-966-1381",
            "fax_number": "202-338-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 CONNECTICUT AVE NW",
            "address_2": "STE. 205",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200085631",
            "telephone_number": "202-966-1381",
            "fax_number": "202-338-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "TERESA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "M.S.W. ,  L.I.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC301455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TYBE",
            "last_name": "DIAMOND",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "M.S.W. ,  L.I.C.S.W.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lisa Marian Diamond-Raab, MA, LPC, ATR, CP
• Carrie Diamond, M.D.
• Ethan Diamond, MD
• Shari B Diamond, M.D.
• Susan B Diamond, LICSW, LCSW-C
• Ultressa Diamond
• Diamond1 Medical Supply and Billing
• George Beng Dianga
• Constance R Diangelo, MD
• Diangelo's House of Wellness

• Clinical Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.