| Doctor Name: | DIANE M DIGERONIMO |
| NPI Number: | 1083652002 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | SW0002181 |
| Business Practice Address: | 2194 A1a Hwy Suite 203 Indian Harbour Beach, FL - 329374930 |
| Business Phone Number: | 3217778930 |
| Business Fax Number: | 3217735479 |
| Mailing Address: | 2194 A1a Hwy, Suite 203 INDIAN HARBOUR BEACH |
| State: | FL |
| Postal Code: | 329374930 |
| Phone Number: | 3217778930 |
| Fax Number: | 3217735479 |
| NPI Enumeration Date: | 06/03/2006 |
| NPI Last Update Date: | 09/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | SW0002181 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |