Mathew Diedrich, MSW, LCSW, CADC is a
Social Worker - Clinical based in Chicago, Illinois. Mathew Diedrich is licensed to practice in Illinois (license number 149.026122) and his current practice location is
6347 N Wayne Ave Apt 2n, Chicago, Illinois. He can be reached at his office (for appointments etc.) via phone at
(312) 833-0655.
NPI number for Mathew Diedrich is 1457906521 and his current mailing address is 6347 N Wayne Ave Apt 2n, Chicago, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457906521.
Healthcare Provider's Profile
Full Name | Mathew Diedrich |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 6347 N Wayne Ave Apt 2n, Chicago, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457906521
- Provider Enumeration Date: 08/06/2019
- Last Update Date: 01/26/2024
Medical Identifiers
Medical identifiers for Mathew Diedrich such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457906521 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 35995 (Illinois) | Secondary |
1041C0700X | Social Worker - Clinical | 149.026122 (Illinois) | 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. Mathew Diedrich 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 |
Mathew Diedrich, MSW, LCSW, CADC 6347 N Wayne Ave Apt 2n, Chicago, IL 60660-1611 Ph: (312) 833-0655 | Mathew Diedrich, MSW, LCSW, CADC 6347 N Wayne Ave Apt 2n, Chicago, IL 60660-1611 Ph: (312) 833-0655 |
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