Tyler Alexandro Diaz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089459-01 Issued in NY

Practice address

160 Bennett Ave
New York, NY 10040-3803

Phone

(714) 614-7327

NPI assigned

Apr 2, 2017

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Latino Support LCSW, P.C

  • Community/Behavioral Health Agency
  • Woodside, NY
  • NPI 1083967970
  NPD (past)

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

{
    "created_epoch": "1491091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1053843680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 BENNETT AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100403803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 BENNETT AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100403803",
            "telephone_number": "714-614-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "TYLER",
        "middle_name": "ALEXANDRO",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-02",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089459-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Diaz, LMSW
• Stephanie Diaz, LMSW
• Stephanie Christine Diaz, LMHC
• Sujey Diaz, RN
• Taina Chantel Diaz
• Victoria Diaz
• Yaimy Diaz
• Yamalis Diaz, PH.D.
• Yardelis Maria Diaz, MD
• Yolima Diaz

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.