Gina Alicia Diaz, ACSW is a
Social Worker - Clinical based in Long Beach, California. Gina Alicia Diaz is licensed to practice in California (license number LCSW101337) and her current practice location is
1501 Hughes Way Ste 150, Long Beach, California. She can be reached at her office (for appointments etc.) via phone at
(310) 221-6336.
NPI number for Gina Alicia Diaz is 1700336161 and her current mailing address is 1501 Hughes Way Ste 150, Long Beach, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700336161.
Healthcare Provider's Profile
Full Name | Gina Alicia Diaz |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1501 Hughes Way Ste 150, Long Beach, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700336161
- Provider Enumeration Date: 10/10/2016
- Last Update Date: 06/03/2021
Medical Identifiers
Medical identifiers for Gina Alicia Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700336161 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 84511 (California) | Secondary |
104100000X | Social Worker | 84511 (California) | Secondary |
104100000X | Social Worker | LCSW101337 (California) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW101337 (California) | 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. Gina Alicia 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 |
Gina Alicia Diaz, ACSW 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 Ph: (310) 221-6336 | Gina Alicia Diaz, ACSW 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 Ph: (310) 221-6336 |
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