Deborah Dyjak Diaz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

2700 E 29TH St Ste 325
Bryan, TX 77802-2588

Phone

(979) 704-6509

Fax

(979) 821-7372

NPI assigned

Jul 29, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• TX HMO

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.

• On Site Counseling,Inc.

  • Clinical Social Worker
  • Houston, TX
  • NPI 1720353048
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1013221241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5134 OLD SPANISH TRL",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778077678",
            "telephone_number": "832-231-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E 29TH ST STE 325",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022588",
            "telephone_number": "979-704-6509",
            "fax_number": "979-821-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYJAK DIAZ",
        "first_name": "DEBORAH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-29",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Renee Duncan
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• Justin Ryan Dunn, PHARMD
• Charis Durham, M.D.
• Dva Renal Healthcare Inc
• Eagle River Dental Associates
• Obinna Kelechi Echeruo, MD
• Alyssa Eckert
• Ronald R Eikenhorst, MD
• Kristin Eiland

• Clinical Social Worker in Bryan, TX
• Providers in Bryan, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.