Active NPI
Diana Marcela Diaz, LCSW
- Clinical Social Worker
- Fairfax, VA
National Provider Identifier
1003087925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904009051
- Practice address
- 2740 Prosperity Ave Ste 200
Fairfax, VA 22031-4354 - Phone
- (703) 321-2687
- NPI assigned
- Mar 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904009051 | VA | Primary |
Addresses
Primary practice location
2740 Prosperity Ave Ste 200
Fairfax, VA 22031-4354
Mailing address
2740 Prosperity Ave Ste 200
Fairfax, VA 22031-4354
Phone (703) 321-2687
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904009051 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453766400000",
"number": "1003087925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2740 PROSPERITY AVE STE 200",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314354",
"telephone_number": "703-321-2687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2740 PROSPERITY AVE STE 200",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314354",
"telephone_number": "703-321-2687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "DIANA",
"middle_name": "MARCELA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-19",
"last_updated": "2016-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904009051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.