MEDICARE: DR. MATTHEW THOMAS DINER PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	108575	TX
2	1041C0700X	Clinical Social Worker	SW19019	FL
3	1041C0700X	Clinical Social Worker	085728	NY
4	1041C0700X	Clinical Social Worker	SWB-2024-1303	NM
5	1041C0700X	Clinical Social Worker	6801114968	MI

General Provider Information

NPI Number	:	1518354984
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW THOMAS DINER PHD

Provider Business Mailing Address
First Line	:	9160 FORUM CORPORATE PKWY STE 350
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33905-7808
Country	:	US
Telephone Number	:	833-872-3825
Fax Number	:

Provider Business Practice Location Address
First Line	:	9160 FORUM CORPORATE PKWY STE 350
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33905-7808
Country	:	US
Telephone Number	:	833-872-3825
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2015
Last Update Date	:	09/08/2025

Similar Medicare Providers

1801544812 — DANIELLE SCHERER BCBA
Practice Location Address:

9160 FORUM CORPORATE PKWY , SUITE 350
FORT MYERS, FL
33905-7808

Practice Phone: 402-201-7940
Practice Fax:

1558231696 — HANNAH JOY INLOW
Practice Location Address:

9160 FORUM CORPORATE PKWY, SUITE 350, FORT MYERS, FL , SUITE 350
FORT MYERS, FL
33905-7808

Practice Phone: 941-275-0189
Practice Fax:

1780820886 — DR. KENNETH CHRISTOPHER LAZZARA PHD
Practice Location Address:

9160 FORUM CORPORATE PKWY STE 350
FORT MYERS, FL
33905-7808

Practice Phone: 239-391-7313
Practice Fax:

1558794321 — MRS. MARGARET C DRAKE
Practice Location Address:

9160 FORUM CORPORATE PKWY STE 350
FORT MYERS, FL
33905-7808

Practice Phone: 866-832-6727
Practice Fax: 772-675-9100

1144632191 — REBECCA BIALY
Practice Location Address:

9160 FORUM CORPORATE PKWY STE 350
FORT MYERS, FL
33905-7808

Practice Phone: 855-832-6727
Practice Fax: 772-675-9100

1811398993 — JESSICA MILNE
Practice Location Address:

9160 FORUM CORPORATE PKWY STE 350
FORT MYERS, FL
33905-7808

Practice Phone: 216-280-8406
Practice Fax:

Directions to “ DR. MATTHEW THOMAS DINER PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.