DIANE ROBIN BADER-ANDERSON (SW) – Clinical Social Worker, NPI 1215294954

DIANE ROBIN BADER-ANDERSON (SW) is a healthcare provider. based in Sarasota, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials SW. They hold a License No. 44SC06078800 (NJ). The NPI Number for DIANE ROBIN BADER-ANDERSON (SW) is 1215294954

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
DIANE ROBIN BADER-ANDERSON (SW)
NPI
1215294954
Phone
(941) 915-1594
Address
4642 PINE GREEN TRL
Enumeration Date
19 April 2012
Last Update Date
7 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9082735558
Graduation Year
2010 (16 years ago)
PAC ID
4880903988
Group Practice PAC ID
9032213483
Professional Enrollment ID
I20211119001898
Address ID
NJ079012601SU482XXAVEX303
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

3,433 CLINICAL SOCIAL WORKER in FL

Provider Addresses for DIANE ROBIN BADER-ANDERSON (SW)

  • 4642 PINE GREEN TRL

    SARASOTA, FL 342416247

    Phone: (941) 915-1594

    Type: Mailing

  • 35 Journal Sq Ste 915

    Jersey City, NJ 073064007

    Phone: (855) 284-7483

    Fax: (617) 807-0958

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-11-19

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151012000474IClinical Social WorkerFLTBD
I20211119001898IClinical Social WorkerNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour15822$0
90791Psychiatric diagnostic evaluation2521$0
View full utilization report →

Insurance plans in this area (ZIP 34241)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032213483View full group profile
NameSpecialtyState
Clinical Social WorkerNJ
Clinical PsychologistNJ
-NJ
-NJ
Clinical PsychologistNJ
Clinical PsychologistNJ
Clinical Social WorkerNY
Mental Health CounselorNJ
Clinical PsychologistNJ
Clinical Social WorkerNJ

Reviews

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Frequently asked questions

What NPI should I save for DIANE ROBIN BADER-ANDERSON (SW)?
Save NPI 1215294954 if you need a stable reference for DIANE ROBIN BADER-ANDERSON (SW).
Is DIANE ROBIN BADER-ANDERSON (SW) currently active in the NPI registry?
CMS-published data lists DIANE ROBIN BADER-ANDERSON (SW) as an active registrant.
Does DIANE ROBIN BADER-ANDERSON (SW) list a primary specialty?
If you are matching referrals, note Clinical Social Worker for DIANE ROBIN BADER-ANDERSON (SW). Clinical services aligned with this taxonomy classification.
Does DIANE ROBIN BADER-ANDERSON (SW) practice in Florida?
You will see Sarasota, Florida on file for DIANE ROBIN BADER-ANDERSON (SW) alongside any extra practice locations.
Is DIANE ROBIN BADER-ANDERSON (SW) a real provider?
This page reflects official NPPES data for NPI 1215294954. Always confirm identity and privileges with the practice and licensing boards.