Kristine Lisl Eclera Diaz, LCSW is a
Social Worker - Clinical based in Brea, California. Kristine Lisl Eclera Diaz is licensed to practice in California (license number 114869) and her current practice location is
315 Pointe Dr, Brea, California. She can be reached at her office (for appointments etc.) via phone at
(619) 721-4376.
NPI number for Kristine Lisl Eclera Diaz is 1427594555 and her current mailing address is 315 Pointe Dr, Brea, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427594555.
Healthcare Provider's Profile
| Full Name | Kristine Lisl Eclera Diaz |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 315 Pointe Dr, Brea, 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: 1427594555
- Provider Enumeration Date: 01/12/2017
- Last Update Date: 05/17/2023
Medical Identifiers
Medical identifiers for Kristine Lisl Eclera Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427594555 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 114869 (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. Kristine Lisl Eclera 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 |
|---|
Kristine Lisl Eclera Diaz, LCSW
315 Pointe Dr,
Brea, CA 92821-7638
Ph: (619) 721-4376 | Kristine Lisl Eclera Diaz, LCSW
315 Pointe Dr,
Brea, CA 92821-7638
Ph: (619) 721-4376 |
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