DIANE KRISTINA WITMER (NPI# 1033771225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033771225 |
| Entity Type | Individual |
| Full Name | DIANE KRISTINA WITMER |
| Credential | LCSW |
| Practice Address |
56 Marilynn St East Islip NY 11730-2703 |
| Practice Telephone | 6313383913 |
| Mailing Telephone | 6313383913 |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
088174 | NY | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
0904011127 | VA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
7058 | TN | Behavioral Health & Social Service Providers |
| Street Address |
56 MARILYNN ST |
| City | EAST ISLIP |
| State | NY |
| Zip Code | 11730-2703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568092583 | Exchange Ambulance Corporation of The Islips | Ambulance | 190 Carleton Avenue, East Islip, NY 11730 | 2020-01-17 |
| 1629422639 | Wanda Chisolm | Counselor | 107 East Main Street, East Islip, NY 11730 | 2016-04-15 |
| 1689040990 | Ryan George Baist | Pharmacist | 18 Argyle Drive, East Islip, NY 11730 | 2015-08-20 |
| 1225448855 | Michael John Desivo | Dentist | 228 East Main St, East Islip, NY 11730 | 2014-05-05 |
| 1306279401 | Eileen Henry | Specialist | 81 Country Village Lane, East Islip, NY 11730 | 2013-08-13 |
| 1124306659 | Carol A Ryan-behr | Licensed Practical Nurse | 145 Woodland Ave, East Islip, NY 11730 | 2011-08-02 |
| 1154651768 | Helene Dellas-dibona | Social Worker | 216 Carleton Avenue, East Islip, NY 11730 | 2010-01-04 |
| 1952513921 | Lorraine G Ballou | Social Worker | 31 Sherwood Drive, East Islip, NY 11730 | 2007-05-04 |
| 1235271362 | Robert Anthony Domozych Jr. | Dentist | 127 West Main Street, East Islip, NY 11730 | 2007-02-13 |
| 1477614766 | Kathleen O'neill | Counselor | 265 East Main Street, Tranquility Counseling, East Islip, NY 11730 | 2006-12-12 |
| Find all providers in zip 11730 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982067542 | Kristy Lanza | Social Worker | 16 Wensley Ln, East Islip, NY 11730-3415 | 2016-03-31 |
| 1487078028 | Mary Gravina | Social Worker | 216 Carleton Ave, East Islip, NY 11730-1222 | 2014-02-18 |
| 1679857262 | Kim Stacey Spicciatie | Social Worker | 153 Simmons Dr, East Islip, NY 11730-3436 | 2011-10-01 |
| 1477853810 | Joan M Cassara | Social Worker | 17 William Ave, East Islip, NY 11730-2304 | 2010-11-02 |
| 1154651768 | Helene Dellas-dibona | Social Worker | 216 Carleton Avenue, East Islip, NY 11730 | 2010-01-04 |
| 1952513921 | Lorraine G Ballou | Social Worker | 31 Sherwood Drive, East Islip, NY 11730 | 2007-05-04 |
| 1184786170 | Mary Ozegovich | Social Worker | 6 Suffolk Ln, East Islip, NY 11730-2210 | 2006-12-15 |
| 1942379763 | Edward P Redmond Jr. | Social Worker | 303 Timber Point Rd, East Islip, NY 11730-3320 | 2006-11-07 |
| 1669937397 | Brendan O'connell | Social Worker | 55 Carleton Ave Ste 5, East Islip, NY 11730-2133 | 2019-02-06 |
| 1407249212 | Joyce Ann Racanelli | Social Worker | 216 Carleton Ave, East Islip, NY 11730-1222 | 2015-03-18 |
| Find all providers in EAST ISLIP | ||||
| City | EAST ISLIP |
| Zip Code | 11730 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.