Active NPI
Theodora Diggs
- Social Worker
- Brooklyn, NY
National Provider Identifier
1912531740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 048529-1
- Practice address
- 210 Clinton Ave Apt 6F
Brooklyn, NY 11205-3428 - Phone
- (347) 223-1091
- NPI assigned
- Mar 2, 2020
- Last updated
- Mar 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 048529-1 | NY | Primary |
| Assistant Behavior Analyst | 106E00000X | 048529-1 | NY |
Addresses
Primary practice location
210 Clinton Ave Apt 6F
Brooklyn, NY 11205-3428
Mailing address
210 Clinton Ave Apt 6F
Brooklyn, NY 11205-3428
Phone (347) 223-1091
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
| License | State | Type | Specialty |
|---|---|---|---|
| 048529-1 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583107200000",
"number": "1912531740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 CLINTON AVE APT 6F",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112053428",
"telephone_number": "347-223-1091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 CLINTON AVE APT 6F",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112053428",
"telephone_number": "347-223-1091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIGGS",
"first_name": "THEODORA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-02",
"last_updated": "2020-03-02",
"certification_date": "2020-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "048529-1",
"primary": true
},
{
"code": "106E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Assistant Behavior Analyst",
"state": "NY",
"license": "048529-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.