Individual provider Active NPI

Christopher A. Diani, LCSW

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1932193257
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS20024 Issued in CA
Practice address
110 Gough St
Ste 403
San Francisco, CA 94102-5971
Phone
(415) 585-4250
Fax
(415) 585-4250
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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 LCS20024 CA Primary

Addresses

Primary practice location

110 Gough St
Ste 403
San Francisco, CA 94102-5971

Mailing address

110 Gough St
Ste 403
San Francisco, CA 94102-5971
Phone (415) 585-4250

Other identifiers 1

IdentifierTypeStateIssuer
CSW200240MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050203000376 CA Practitioner - Clinical Social Worker 4183675440 Practice locations: San Francisco, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

San Francisco, CA 94132
Phone (415) 585-4250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS20024CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
California Pacific Medical Group, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1932193257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 GOUGH ST",
            "address_2": "STE 403",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025971",
            "telephone_number": "415-585-4250",
            "fax_number": "415-585-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 GOUGH ST",
            "address_2": "STE 403",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025971",
            "telephone_number": "415-585-4250",
            "fax_number": "415-585-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIANI",
        "first_name": "CHRISTOPHER",
        "middle_name": "A.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS20024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CSW200240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.