DIANDRIA ALIYSHA DONALDSON LCSW
NPI 1144870304
Social Worker in Fairfield, CA

Q: What is Diandria Donaldson's NPI number?

The NPI number for Diandria Donaldson is 1144870304. It was assigned to this individual provider in the NPPES registry on September 18, 2019.

Q: What is Diandria Donaldson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Active since September 18, 2019PECOS Enrolled

1234 EMPIRE ST, FAIRFIELD, CA 94533(210) 268-8887 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 30, 2023, Oct 24, 2019, Sep 18, 2019 (3 updates tracked since 2019).

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About Diandria Aliysha Donaldson Lcsw NPPES

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

DIANDRIA ALIYSHA DONALDSON LCSW (NPI 1144870304) is an individual social worker in Fairfield, California, licensed in California (91902) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1144870304

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameDIANDRIA ALIYSHA DONALDSONCredential: LCSW

Location Address1234 EMPIRE STFairfield, CA 94533-5711

Mailing Address2080 Morgan CtFairfield, CA 94534-7464 · (210) 268-8887

Phone(210) 268-8887

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateSeptember 18, 2019

Last NPPES UpdateAugust 30, 20233 updates tracked since enumeration

NPPES CertifiedAugust 30, 2023

✔ NPI 1144870304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in CA · 91902

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 91902 (CA)

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 117732 (CA)

1234 EMPIRE ST, Fairfield, CA 94533

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diandria Aliysha Donaldson Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254829740

PECOS Enrollment IDI20251024004242

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.

Medicare Billing Reassignment

Medicare enrollment records show Diandria Donaldson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Integrated Pain Management Medical Group, Inc.

23 mi

Pain Medicine

450 N WIGET LN
Walnut Creek, CA 94598

Reassigned Medicare billing, California enrollment
137 clinicians in this Medicare group

NPI 1922198779 (925) 691-9806

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLEE JULIANNE REESE

Social Worker