Healthcare Provider Details

I. General information

NPI: 1407174543
Provider Name (Legal Business Name): DIANE E STINSON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2010
Last Update Date: 05/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 HOSPITAL ROAD BHC OPD WESTCHESTER MEDICAL CENTER
VALHALLA NY
10595
US

IV. Provider business mailing address

PO BOX 831
VERPLANCK NY
10596-0831
US

V. Phone/Fax

Practice location:
  • Phone: 914-493-5426
  • Fax: 914-493-7089
Mailing address:
  • Phone: 914-729-4068
  • Fax: 914-493-7089

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberR046946
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: