Sandra Diaz Consulting Llc | |
7 Aewa Pl Ste 7 Makawao HI 96768-8882 | |
(808) 298-6592 | |
(808) 633-8527 |
Full Name | Sandra Diaz Consulting Llc |
---|---|
Speciality | Social Worker |
Location | 7 Aewa Pl Ste 7, Makawao, Hawaii |
Authorized Official Name and Position | Sandra Diaz (LCSW) |
Authorized Official Contact | 8082986592 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Sandra Diaz Consulting Llc Po Box 1164 Makawao HI 96768-1164 Ph: (808) 298-6592 | Sandra Diaz Consulting Llc 7 Aewa Pl Ste 7 Makawao HI 96768-8882 Ph: (808) 298-6592 |
NPI Number | 1093434391 |
---|---|
Provider Enumeration Date | 08/22/2022 |
Last Update Date | 04/16/2024 |
Certification Date | 04/16/2024 |
Medicare PECOS PAC ID | 8224407085 |
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Medicare Enrollment ID | O20230823001926 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093434391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Sandra Diaz |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1487091831 PECOS PAC ID: 9830596451 Enrollment ID: I20210924001331 |
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