DIANE BAUMGARTEN LCSW
NPI 1891755203
Social Worker in Flushing, NY

Active since March 28, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
14415 68TH RD, FLUSHING, NY 11367(973) 264-0023(973) 264-0022 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Diane Baumgarten Lcsw NPPES

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

DIANE BAUMGARTEN LCSW (NPI 1891755203) is an individual social worker in Flushing, New York, licensed in New York (073505) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1891755203
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameDIANE BAUMGARTENCredential: LCSW
Location Address14415 68TH RDFlushing, NY 11367-1330
Mailing Address2719 Hollywood Blvd Ste 5469Hollywood, FL 33020-4821 · (973) 264-0023 · Fax (973) 264-0022
Fax(973) 264-0022
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateMarch 28, 2006
Last NPPES UpdateOctober 6, 2025
NPPES CertifiedOctober 6, 2025
✔ NPI 1891755203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NY · 073505
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.
14415 68TH RD, Flushing, NY 11367

Accepted Insurance

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

Diane Baumgarten 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 ID4981615275
PECOS Enrollment IDI20060530000171
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 Baumgarten reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
14415 68TH RD
Flushing, NY 11367
  • Reassigned Medicare billing, New York enrollment
  • 131 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
1,968 services170 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
180 services171 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
21 services13 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.2
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Counselor (Mental Health)
14415 68TH RD
FLUSHING, NY 11367
Social Worker (Clinical)
14415 68TH RD
FLUSHING, NY 11367
Psychologist (Clinical)
14415 68TH RD
FLUSHING, NY 11367
Social Worker (Clinical)
14415 68TH RD
FLUSHING, NY 11367
Social Worker
14415 68TH RD
FLUSHING, NY 11367
Psychologist (Clinical)
14415 68TH RD
FLUSHING, NY 11367

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 Baumgarten's NPI number?

The NPI number for Diane Baumgarten is 1891755203. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Diane Baumgarten located?

Diane Baumgarten practices at 14415 68th Rd, Flushing, NY 11367. The listed phone number is (973) 264-0023.

What is Diane Baumgarten's specialty?

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

Is Diane Baumgarten enrolled in Medicare?

Yes. Diane Baumgarten 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 organization bills Medicare for Diane Baumgarten's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diane Baumgarten reassigns Medicare benefits to Senior Care Therapy Lcsw Of New York PLLC (Flushing, 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 Baumgarten's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Diane Baumgarten accept?

Health plans from Oscar Health list Diane Baumgarten 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 Diane Baumgarten was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.