Diane C Simoni, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

113324 Issued in MA

Practice address

317 Carob LN
Alameda, CA 94502-6623

Phone

(508) 243-7481

NPI assigned

Oct 10, 2006

Last updated

Dec 14, 2020By 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

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 Oct 1, 2021 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1871681643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 CAROB LN",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945026623",
            "telephone_number": "508-243-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 CAROB LN",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945026623",
            "telephone_number": "508-243-7481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Fisher Ln",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "MA",
            "postal_code": "020482703",
            "country_code": "US",
            "telephone_number": "508-243-7481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMONI",
        "first_name": "DIANE",
        "middle_name": "C",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Simeon
• Lara Alohalani Simmons
• Latoya Simms, PMHNP-BC
• Shala R Simms
• Judy Corinne Simon, BCBA
• Amanda Simons
• Michael Simontacchi-Gbologah, DMD
• Cicily Singh
• Rosalyn Laverne Singleton
• Kyle Elana Sinkoff

• Clinical Social Worker in Alameda, CA
• Providers in Alameda, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.