Mrs Jessica L Diaz, MSW is a
Social Worker - Clinical based in Indianapolis, Indiana. Mrs Jessica L Diaz is licensed to practice in Indiana (license number 33007906A) and her current practice location is
1224 Laurel St, Indianapolis, Indiana. She can be reached at her office (for appointments etc.) via phone at
(317) 969-5279.
NPI number for Mrs Jessica L Diaz is 1306354683 and her current mailing address is 1345 Barth Ave, Indianapolis, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306354683.
Healthcare Provider's Profile
Full Name | Mrs Jessica L Diaz |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1224 Laurel St, Indianapolis, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306354683
- Provider Enumeration Date: 01/20/2018
- Last Update Date: 01/20/2018
Medical Identifiers
Medical identifiers for Mrs Jessica L Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306354683 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 33007906A (Indiana) | Secondary |
101YP2500X | Counselor - Professional | 33007906A (Indiana) | Secondary |
104100000X | Social Worker | 33007906A (Indiana) | Secondary |
1041C0700X | Social Worker - Clinical | 33007906A (Indiana) | 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. Mrs Jessica L 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 |
Mrs Jessica L Diaz, MSW 1345 Barth Ave, Indianapolis, IN 46203-1822 Ph: (317) 432-7247 | Mrs Jessica L Diaz, MSW 1224 Laurel St, Indianapolis, IN 46203-1908 Ph: (317) 969-5279 |
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