Active NPI
Silvia Diaz, LCSW
- Clinical Social Worker
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149019574
- Practice address
- 2750 W North Ave
Chicago, IL 60647-5247 - Phone
- (312) 666-3494
- Fax
- (312) 666-6228
- NPI assigned
- Jan 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | 149019574 | IL | Primary |
Addresses
Primary practice location
2750 W North Ave
Chicago, IL 60647-5247
Mailing address
1701 W Superior St
Chicago, IL 60622-5646
Phone (312) 666-3494
Other practice location 1
1414 Main St
Melrose Park, IL 60160-3902
Phone (708) 681-0073 ext. 8519
Other practice location 2
2750 W North Ave
Chicago, IL 60647-5247
Phone (312) 666-3494
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erie Family Health Center, Inc | Current | Accepting new patients | |
| Erie Family Health Center Inc | Current | Accepting new patients | |
| Erie Family Health Center Inc | Current | Accepting new patients | |
| Thrive for Wellness LLC | Past | Accepting new patients |
Locations
1701 W Superior St
Chicago, IL 60622
Phone (312) 432-7392
1701 W Superior St
Fl 3
Chicago, IL 60622
Phone (312) 432-7381
2750 W North Ave
Chicago, IL 60647
Phone (312) 432-2767
1504 S Albany Ave
Chicago, IL 60623
Interoperability endpoints
- https://api.platform.athenahealth.com/23568/brand/1/csg/1/fhir/r4
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1548062318
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1700144243
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1760499545
-
- Clinic/Center
- Chicago, IL
- NPI 1396485926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1003204686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 W SUPERIOR ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606225646",
"telephone_number": "312-666-3494",
"fax_number": "312-666-6228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 W NORTH AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606475247",
"telephone_number": "312-666-3494",
"fax_number": "312-666-6228"
}
],
"practiceLocations": [
{
"address_1": "1414 Main St",
"address_purpose": "LOCATION",
"city": "Melrose Park",
"state": "IL",
"postal_code": "601603902",
"country_code": "US",
"telephone_number": "708-681-0073 x8519",
"fax_number": "708-681-3958",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2750 W North Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606475247",
"country_code": "US",
"telephone_number": "312-666-3494",
"fax_number": "312-666-6228",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIAZ",
"first_name": "SILVIA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-05",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149019574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.