MS. DIANA MELISA IDELSON LCSW
NPI 1003062415
Social Worker - Clinical in Southport, NC

Active since August 18, 2008PECOS EnrolledAccepts Medicare Assignment
4320 SOUTHPORT SUPPLY RD SE STE 200, SOUTHPORT, NC 28461(910) 457-0800(910) 457-1072 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2026, Mar 22, 2019 (2 updates tracked since 2019).

About Ms. Diana Melisa Idelson Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. DIANA MELISA IDELSON LCSW (NPI 1003062415) is an individual clinical provider in Southport, North Carolina, licensed in North Carolina (C012223) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1003062415
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. DIANA MELISA IDELSONCredential: LCSW
Location Address4320 SOUTHPORT SUPPLY RD SE STE 200Southport, NC 28461-8056
Mailing Address3950 Pepperberry LnSouthport, NC 28461-8481 · (845) 537-5706
Fax(910) 457-1072
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 18, 2008
Last NPPES UpdateJanuary 7, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
NPI 1003062415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NC · C012223
Definition
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.
4320 SOUTHPORT SUPPLY RD SE STE 200, Southport, NC 28461

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Diana Melisa Idelson Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072850999
PECOS Enrollment IDI20210224000699
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28461 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diana Idelson's NPI number?

The NPI number for Diana Idelson is 1003062415. It was assigned to this individual provider in the NPPES registry on August 18, 2008.

Where is Diana Idelson located?

Diana Idelson practices at 4320 Southport Supply Rd SE Ste 200, Southport, NC 28461. The listed phone number is (910) 457-0800.

What is Diana Idelson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Diana Idelson enrolled in Medicare?

Yes. Diana Idelson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Diana Idelson accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Diana Idelson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Diana Idelson was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.