DIANE C. DUBIN (LICSW) – Clinical Social Worker, NPI 1407857535

DIANE C. DUBIN (LICSW) is a healthcare provider. based in Newburyport, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 1028904 (MA). The NPI Number for DIANE C. DUBIN (LICSW) is 1407857535

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
DIANE C. DUBIN (LICSW)
NPI
1407857535
Phone
(978) 462-2890
Address
143 STATE ST
Enumeration Date
10 August 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1995 (31 years ago)
PAC ID
2961390810
Professional Enrollment ID
I20040310000981
Address ID
MA019506621Ne143XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

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Provider Addresses for DIANE C. DUBIN (LICSW)

  • 143, State Street, Subdistrict C, Newburyport, Essex County, Massachusetts, 01922, United States

    NEWBURYPORT, MA 019506621

    Phone: (978) 462-2890

    Fax: (978) 462-2890

    Mailing address matches the actual address.

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: 2004-03-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20040310000981IClinical Social WorkerMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01950)

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Reviews

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Frequently asked questions

How is DIANE C. DUBIN (LICSW) identified in CMS data?
CMS-hosted NPPES data lists DIANE C. DUBIN (LICSW) with NPI 1407857535.
Is DIANE C. DUBIN (LICSW) listed as active for patients and plans?
The listing shows DIANE C. DUBIN (LICSW) as active in the NPI system.
What is DIANE C. DUBIN (LICSW)'s specialty?
The listing groups DIANE C. DUBIN (LICSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Does DIANE C. DUBIN (LICSW) list a practice location?
Patients near Newburyport, Massachusetts may find DIANE C. DUBIN (LICSW) in results; validate coverage separately.
Why does DIANE C. DUBIN (LICSW) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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