Active NPI
Diane Degiovine, LCSW
- Mental Health Counselor
- Schoharie, NY
National Provider Identifier
1992842488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 034060-1
- Practice address
- 5060-2 State RT. 30
Schoharie, NY 12157-0664 - Phone
- (518) 295-8090
- NPI assigned
- Jan 31, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 034060-1 | NY | Primary |
Addresses
Primary practice location
5060-2 State RT. 30
Schoharie, NY 12157-0664
Mailing address
PO Box 664
5060-2 State RT. 30
Schoharie, NY 12157-0664
Phone (518) 295-8090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070806000204 | NY | Practitioner - Clinical Social Worker | 3375634355 | Practice locations: Albany, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5 Pine W PLZ
Suite 508
Albany, NY 12205-5587
Phone (518) 301-5412
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034060-1 | NY | MD | Mental Health Counselor |
| 034060 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992842488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 664",
"address_2": "5060-2 STATE RT. 30",
"city": "SCHOHARIE",
"state": "NY",
"postal_code": "121570664",
"telephone_number": "518-295-8090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5060-2 STATE RT. 30",
"city": "SCHOHARIE",
"state": "NY",
"postal_code": "121570664",
"telephone_number": "518-295-8090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGIOVINE",
"first_name": "DIANE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "034060-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schoharie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.