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MR. MAMADOU DIALLO LMSW
NPI 1619560810
Social Worker - Clinical in Bronx, NY

Active since February 18, 2021PECOS EnrolledAccepts Medicare Assignment
2417 PEARSALL AVE, BRONX, NY 10469(917) 929-0851 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Mamadou Diallo Lmsw NPPES

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

MR. MAMADOU DIALLO LMSW (NPI 1619560810) is an individual clinical provider in Bronx, New York, licensed in New York (108968) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS and is a graduate of Fordham University School Of Medicine (2019).

NPPES Registry Identity

NPI1619560810
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. MAMADOU DIALLOCredential: LMSW
Location Address2417 PEARSALL AVEBronx, NY 10469-5429
Mailing Address2417 Pearsall AveBronx, NY 10469-5429 · (917) 929-0851
Phone(917) 929-0851
Sole ProprietorNo
Medical School CMSFordham University School Of MedicineGraduated 2019
Enumeration DateFebruary 18, 2021
NPPES CertifiedFebruary 18, 2021
✔ NPI 1619560810 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 NY · 108968
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.
2417 PEARSALL AVE, Bronx, NY 10469
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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 and accepts Medicare assignment

Mr. Mamadou Diallo Lmsw 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 ID7113439266
PECOS Enrollment IDI20250624002874
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 Reassignments

3

Medicare enrollment records show Mamadou Diallo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Puerto Rican Organization To Motivate Enlighten And Serve Addicts Inc
2.9 mi
Rehabilitation, Substance Use Disorder
1776 CLAY AVE
Bronx, NY 10457
  • Reassigned Medicare billing, New York enrollment
  • 7 clinicians in this Medicare group
NPI 1407830946 (718) 299-1100
Jewish Board Of Family & Childrens Services Inc
10 mi
Community/Behavioral Health
463 7TH AVE FL 18
New York, NY 10018
  • Reassigned Medicare billing, New York enrollment
  • 358 clinicians in this Medicare group
NPI 1689755662 (914) 773-7358
Integrity Social Work Services LLC
24 mi
Mental Health
1110 SOUTH AVE STE 404
Staten Island, NY 10314
  • Reassigned Medicare billing, New York enrollment
  • 131 clinicians in this Medicare group
NPI 1972715456 (718) 494-2858

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10469 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 $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 Mamadou Diallo's NPI number?

The NPI number for Mamadou Diallo is 1619560810. It was assigned to this individual provider in the NPPES registry on February 18, 2021.

Where is Mamadou Diallo located?

Mamadou Diallo practices at 2417 Pearsall Ave, Bronx, NY 10469. The listed phone number is (917) 929-0851.

What is Mamadou Diallo's specialty?

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

Is Mamadou Diallo enrolled in Medicare?

Yes. Mamadou Diallo 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.

Which organizations bill Medicare for Mamadou Diallo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mamadou Diallo reassigns Medicare benefits to 3 organizations: Puerto Rican Organization To Motivate Enlighten And Serve Addicts Inc (Bronx, NY), Jewish Board Of Family & Childrens Services Inc (New York, NY) and Integrity Social Work Services LLC (Staten Island, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mamadou Diallo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mamadou Diallo was last updated on February 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.