1. Home
  2. Directory
  3. New York
  4. Bronx
  5. Social Worker
  6. NPI Profile

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: July 26, 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
Open in Google Maps ↗

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

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.

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.

When was this NPI record last updated?

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