Diane Jane Jagoda, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW3548 Issued in FL

Practice address

600 Sandtree Dr
Suite 202B
Palm Beach Gardens, FL 33403-1597

Phone

(561) 626-4788

Fax

(561) 625-5992

NPI assigned

Dec 27, 2006

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

• Mrs. Diane Abbott Jagoda Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286496000000",
    "number": "1922163153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8970 OLDHAM WAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334121109",
            "telephone_number": "561-625-5778",
            "fax_number": "561-625-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SANDTREE DR",
            "address_2": "SUITE 202B",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334031597",
            "telephone_number": "561-626-4788",
            "fax_number": "561-625-5992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGODA",
        "first_name": "DIANE",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2010-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "JAGODA",
            "middle_name": "ABBOTT",
            "prefix": "MRS.",
            "credential": "MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Michael A Jacobs, MD PA
• Tara Jacobs, NP-C
• Evan L Jacobson, M.D.
• Michelle C Jacobson, LCSW
• Andrew Todd Jaffe, M.D.
• Ragena Montana Lisa Jagon
• James C Dee DMD
• James H Chen Jr DMD PA (Chen Dental Health)
• James P Cima DC PA
• James Whitney DC PA (Whitney Chiropractic and Massage)

• Clinical Social Worker in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.