Jacqueline Anahi Diaz, is a
Social Worker - Clinical based in Lynwood, California. Jacqueline Anahi Diaz is licensed to practice in California (license number 124197) and her current practice location is
2620 Industry Way, Lynwood, California. She can be reached at her office (for appointments etc.) via phone at
(310) 667-4070.
NPI number for Jacqueline Anahi Diaz is 1558787911 and her current mailing address is 2620 Industry Way, Lynwood, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558787911.
Healthcare Provider's Profile
| Full Name | Jacqueline Anahi Diaz |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 2620 Industry Way, Lynwood, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1558787911
- Provider Enumeration Date: 03/10/2014
- Last Update Date: 07/25/2024
Medical Identifiers
Medical identifiers for Jacqueline Anahi Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558787911 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 124197 (California) | Primary |
| 101YM0800X | Counselor - Mental Health | ASW84607 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 84607 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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. Jacqueline Anahi 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 |
|---|
Jacqueline Anahi Diaz,
2620 Industry Way,
Lynwood, CA 90262-4024
Ph: (310) 667-4070 | Jacqueline Anahi Diaz,
2620 Industry Way,
Lynwood, CA 90262-4024
Ph: (310) 667-4070 |
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