Double Diamond Wellness INC.
Social Worker, Clinical in New York, NY. Organization (NPI-2).
NPI number1407136997
StatusActive
Last updated in NPPESAug 28, 2011
Details
- NPI
- 1407136997
- Entity type
- Organization (NPI-2)
- Legal business name
- Double Diamond Wellness INC.
- Organization subpart
- No
- Enumeration date
- Aug 28, 2011
- Last updated
- Aug 28, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 078825 | NY | Yes |
Practice location
125 W 72nd St Rm 2fNew York, NY 10023-3278
Phone 212-721-8183
Mailing address
125 W 72nd St Rm 2fNew York, NY 10023-3278
Phone 212-721-8183
Authorized official
Hong Zhang
President
2127218183
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