Individual provider Active NPI

Phyllis Helen Diamond, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1992912778
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR008326-1 Issued in NY
Practice address
170 W End Ave
Suite 1S
New York, NY 10023-5401
Phone
(212) 724-2353
Fax
(212) 724-1186
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PR008326-1 NY Primary

Addresses

Primary practice location

170 W End Ave
Suite 1S
New York, NY 10023-5401

Mailing address

170 W End Ave
Suite 1S
New York, NY 10023-5401
Phone (212) 724-2353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2018 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR008326-1NYMDClinical Social Worker
029898NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992912778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 W END AVE",
            "address_2": "SUITE 1S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235401",
            "telephone_number": "212-724-2353",
            "fax_number": "212-724-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 W END AVE",
            "address_2": "SUITE 1S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235401",
            "telephone_number": "212-724-2353",
            "fax_number": "212-724-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "PHYLLIS",
        "middle_name": "HELEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR008326-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.