Individual provider Active NPI

Michelle Diamond, LCSW

  • Mental Health Counselor
  • Pittsburgh, PA
National Provider Identifier
1962676320
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CW015759 Issued in PA
Practice address
1112 S Braddock Ave
Suite 202
Pittsburgh, PA 15218-1262
Phone
(412) 244-0450
NPI assigned
Apr 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CW015759 PA Primary

Addresses

Primary practice location

1112 S Braddock Ave
Suite 202
Pittsburgh, PA 15218-1262

Mailing address

1112 S Braddock Ave
Suite 202
Pittsburgh, PA 15218-1262
Phone (412) 244-0450

Other names 1

  • Mrs. Mickie Diamond Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20091104000108 PA Practitioner - Clinical Social Worker 5395883854 Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW015759PAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1962676320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 S BRADDOCK AVE",
            "address_2": "SUITE 202",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152181262",
            "telephone_number": "412-244-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 S BRADDOCK AVE",
            "address_2": "SUITE 202",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152181262",
            "telephone_number": "412-244-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "CW015759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICKIE",
            "last_name": "DIAMOND",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.