Evelyn Diaz, LCSW in Waterbury, CT - Medicare Social Worker Provider

Evelyn Diaz, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Waterbury, Connecticut. Her current practice location is 92 Prospect St, Waterbury, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 856-3380.

Evelyn Diaz is licensed to practice in Connecticut (license number 13576) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1316379969.

Contact Information

	Evelyn Diaz, LCSW
	92 Prospect St, Waterbury, CT 06702-1327
	(860) 856-3380
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Evelyn Diaz
Gender	Female
Speciality	Social Worker - Clinical
Location	92 Prospect St, Waterbury, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316379969
Provider Enumeration Date: 08/06/2013
Last Update Date: 02/29/2024

Medicare PECOS Information:

PECOS PAC ID: 1153767157
Enrollment ID: I20240313001341

Medical Identifiers

Medical identifiers for Evelyn Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316379969	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	13576 (Connecticut)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Evelyn Diaz allows following entities to bill medicare on her behalf.

Entity Name	Ec Thera-fit Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265099667 PECOS PAC ID: 7810309820 Enrollment ID: O20201216001811

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Evelyn Diaz is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Evelyn Diaz, LCSW 52 Spring Rd, Wolcott, CT 06716-1616 Ph: (860) 856-3380	Evelyn Diaz, LCSW 92 Prospect St, Waterbury, CT 06702-1327 Ph: (860) 856-3380

Reviews and Comments

Social Worker in Waterbury, CT

Miss Jennifer Michele Sinclair, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 27 Visconti Ave, Waterbury, CT 06704 Phone: 203-232-8596
Patricia Ann Dupree-bautista, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 95 Thomaston Ave, Waterbury, CT 06702 Phone: 203-805-5383
Jennifer Giordano, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 55 West Main Street, Western Connecticut Mental Health Network Suite 410, Waterbury, CT 06702 Phone: 203-805-6408 Fax: 203-805-6432
Mr. Michael F Norton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 228 Meadow St, Waterbury, CT 06702 Phone: 203-597-0643 Fax: 203-597-0834
Mary Ann Rourke, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 95 Scovill St, 3rd Floor, Waterbury, CT 06706 Phone: 203-709-7081 Fax: 203-709-7754
Mrs. Ivelisse Soto, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 95 Thomaston Ave, Waterbury, CT 06702 Phone: 203-805-5378
Paula Zigman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 55 West Main Street, Suite 410 Western Connecticut Mental Health Network, Waterbury, CT 06702 Phone: 203-805-6408 Fax: 203-805-6432

Evelyn Diaz, LCSW - Medicare Clinical Social Worker in Waterbury, CT