Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diana Klebanoff, LCSWR

Individual provider Clinical Social Worker · NPI 1639718620

Diana Klebanoff, LCSWR is a Clinical Social Worker in Lake Katrine, New York. Qualified in 1981, 45 years ago. Practices with Mental Health Specialty Group PA, a 679-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
45
Licensed in
NY
In the registry since
2019

Practice location Address checks out

1 Commons Dr
Lake Katrine, NY 12449-5149
Phone: (845) 336-6666
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 026511 (NY)

Record details

NPI number1639718620
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWR
Sole proprietorNo
NPI enumeratedDecember 23, 2019
Last updated in NPPESDecember 23, 2019
Certification dateDecember 23, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Group practice Mental Health Specialty Group Pa — 679 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lake Katrine