DIANE GAVARES LCSW
NPI 1780995316
Social Worker in Shoreham, NY

Q: What is Diane Gavares's NPI number?

The NPI number for Diane Gavares is 1780995316. It was assigned to this individual provider in the NPPES registry on June 29, 2010.

Q: What is Diane Gavares's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Diane Gavares was last updated on October 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 29, 2010PECOS Enrolled

3 MIDDLE CROSS, SHOREHAM, NY 11786(631) 707-5402 Get Directions Write a Review

NPPES record last updated: October 18, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Diane Gavares Lcsw NPPES

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

DIANE GAVARES LCSW (NPI 1780995316) is an individual social worker in Shoreham, New York and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1780995316

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameDIANE GAVARESCredential: LCSW

Location Address3 MIDDLE CROSSShoreham, NY 11786-1441

Mailing Address3 Middle CrossShoreham, NY 11786-1441 · (631) 707-5402

Phone(631) 707-5402

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJune 29, 2010

Last NPPES UpdateOctober 18, 2016

✔ NPI 1780995316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

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.

3 MIDDLE CROSS, Shoreham, NY 11786

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Other Identifiers 1

OtherP75582NY · Nysed

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diane Gavares Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355625328

PECOS Enrollment IDI20170313000764

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 Diane Gavares reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Diane Gavares Licensed Clinical Social Worker P.C.

0.1 mi

Clinical

3 MIDDLE CROSS
Shoreham, NY 11786

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Diane Gavares Licensed Clinical Social Worker PC

NPI 1417582909 (631) 849-2341

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

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

DIANE GAVARES LICENSED CLINICAL SOCIAL WORKER P.C.

Social Worker (Clinical)

3 MIDDLE CROSS
SHOREHAM, NY 11786

Suffolk County (631) 849-2341

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 Diane Gavares's NPI number?

The NPI number for Diane Gavares is 1780995316. It was assigned to this individual provider in the NPPES registry on June 29, 2010.

Where is Diane Gavares located?

Diane Gavares practices at 3 Middle Cross, Shoreham, NY 11786. The listed phone number is (631) 707-5402.

What is Diane Gavares's specialty?

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

Is Diane Gavares enrolled in Medicare?

Yes. Diane Gavares is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Diane Gavares's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diane Gavares reassigns Medicare benefits to Diane Gavares Licensed Clinical Social Worker P.C. (Shoreham, NY). The 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 Diane Gavares'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 Diane Gavares was last updated on October 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.