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

MS. Diana Burgrave, LCSWR

Individual provider Social Worker · NPI 1265449912

MS. Diana Burgrave, LCSWR is a Clinical Social Worker in Far Rockaway, New York. Graduated from Fordham University School of Medicine in 1980, 46 years ago. Practices with Supportive Care Psychology of Ny PC, a 50-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
46
Trained at
Fordham University School of Medicine
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

316 Beach 65th St Daytop Village Inc
Far Rockaway, NY 11692
Phone: (718) 474-3800
Fax: (718) 318-6372
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence R0255591 (NY)

Record details

NPI number1265449912
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWR
Sole proprietorNo
NPI enumeratedAugust 2, 2006
Last updated in NPPESDecember 4, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolFORDHAM UNIVERSITY SCHOOL OF MEDICINE
Graduated 1980 (46 years in practice)
Group practice Supportive Care Psychology Of Ny Pc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Far Rockaway