| Ms Diana Melisa Idelson, LCSW | |
|
4320 Southport Supply Rd Se Ste 200, Southport, NC 28461-8056 | |
| (910) 457-0800 | |
| (910) 457-1072 |
| Full Name | Ms Diana Melisa Idelson |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 18 Years |
| Location | 4320 Southport Supply Rd Se Ste 200, Southport, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003062415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C012223 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sapia Psychological Associates Inc | 1557524238 | 2 |
| Entity Name | Sapia Psychological Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114151990 PECOS PAC ID: 1557524238 Enrollment ID: O20120516000235 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Diana Melisa Idelson, LCSW 3950 Pepperberry Ln, Southport, NC 28461-8481 Ph: (845) 537-5706 | Ms Diana Melisa Idelson, LCSW 4320 Southport Supply Rd Se Ste 200, Southport, NC 28461-8056 Ph: (910) 457-0800 |
Ayanna Holguin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8128 River Rd Se, Southport, NC 28461 Phone: 910-367-5036 Fax: 910-477-9030 | |
Kymra Fowler Stewart, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3960 Executive Park Blvd Ste 3, Southport, NC 28461 Phone: 910-854-0371 Fax: 910-854-0371 | |
Ms. Irene R. Brook, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5003 Oquinn Blvd Se Ste B, Southport, NC 28461 Phone: 910-457-6335 Fax: 910-457-6524 | |
Dawn Marie Pieper, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 414 N Howe St, Southport, NC 28461 Phone: 910-457-9462 Fax: 910-457-9462 | |
Elissa B Both, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3016 Beachcomber Dr, Southport, NC 28461 Phone: 609-915-6931 | |
Erin Sweeney, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1111 S Shore Dr, Southport, NC 28461 Phone: 910-448-7326 |