Jessica Lisbet Diaz, LCSW97835 is a
Social Worker - Clinical based in Compton, California. Jessica Lisbet Diaz is licensed to practice in California (license number LCSW97835) and her current practice location is
901 W Victoria St. Suite F & G, Compton, California. She can be reached at her office (for appointments etc.) via phone at
(310) 707-2820.
NPI number for Jessica Lisbet Diaz is 1366841306 and her current mailing address is 901 W Victoria St Ste F&g, Compton, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366841306.
Healthcare Provider's Profile
| Full Name | Jessica Lisbet Diaz |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 901 W Victoria St. Suite F & G, Compton, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1366841306
- Provider Enumeration Date: 08/15/2014
- Last Update Date: 05/19/2021
Medical Identifiers
Medical identifiers for Jessica Lisbet Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366841306 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | ASW67504 (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | LCSW97835 (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW97835 (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. Jessica Lisbet 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 |
|---|
Jessica Lisbet Diaz, LCSW97835
901 W Victoria St Ste F&g,
Compton, CA 90220-5807
Ph: (310) 707-2820 | Jessica Lisbet Diaz, LCSW97835
901 W Victoria St. Suite F & G,
Compton, CA 90220
Ph: (310) 707-2820 |
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