Healthcare Provider Details

I. General information

NPI: 1114672292
Provider Name (Legal Business Name): DIANA DUMA SOCIAL WORKER, LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2022
Last Update Date: 02/07/2026
Certification Date: 02/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 12
LAKE PEEKSKILL NY
10537-0012
US

IV. Provider business mailing address

PO BOX 12
LAKE PEEKSKILL NY
10537-0012
US

V. Phone/Fax

Practice location:
  • Phone: 914-438-1180
  • Fax:
Mailing address:
  • Phone: 914-438-1180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number093323
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: