Suzanne Tellez Diaz, LCSW is a
Social Worker - Clinical based in Page, Arizona. Suzanne Tellez Diaz is licensed to practice in Arizona (license number 22052) and her current practice location is
463 S Lake Powell Blvd, Page, Arizona. She can be reached at her office (for appointments etc.) via phone at
(928) 645-5113.
NPI number for Suzanne Tellez Diaz is 1609626449 and her current mailing address is Po Box 790, Page, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609626449.
Healthcare Provider's Profile
Full Name | Suzanne Tellez Diaz |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 463 S Lake Powell Blvd, Page, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1609626449
- Provider Enumeration Date: 03/25/2024
- Last Update Date: 03/25/2024
Medical Identifiers
Medical identifiers for Suzanne Tellez Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609626449 | NPI | - | NPPES |
22052 | Other | AZ | LCSW LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 22052 (Arizona) | Primary |
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. Suzanne Tellez Diaz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Suzanne Tellez Diaz, LCSW Po Box 790, Page, AZ 86040-0790 Ph: (928) 433-3732 | Suzanne Tellez Diaz, LCSW 463 S Lake Powell Blvd, Page, AZ 86040-0856 Ph: (928) 645-5113 |
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