Individual provider Active NPI

Dalia Manuela Diaz

  • Clinical Social Worker
  • Norwalk, CA
National Provider Identifier
1063939718
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW100058 Issued in CA
Practice address
12440 Firestone Blvd Ste 316
Norwalk, CA 90650-9319
Phone
(562) 864-3722
Fax
(562) 864-4596
NPI assigned
Aug 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW100058 CA Primary
Mental Health Counselor 101YM0800X ASW77784 CA

Addresses

Primary practice location

12440 Firestone Blvd Ste 316
Norwalk, CA 90650-9319

Mailing address

12440 Firestone Blvd Ste 316
Norwalk, CA 90650-9319
Phone (562) 864-3722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20230731002694 CA Practitioner - Clinical Social Worker 7911368477 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW77784CAMDMental Health Counselor
LCSW100058CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Soultenders Psychological Services, Inc. Clinical CurrentSince Jun 29, 2026 Accepting new patients
Helpline Youth Counseling, Inc. PastSince Sep 23, 2021 Accepting new patients

Locations

41 E Foothill Blvd
Ste 102
Arcadia, CA 91006
Phone (626) 701-4249

7630 Painter Ave
Ste C
Whittier, CA 90602
Phone (562) 203-0177

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1063939718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12440 FIRESTONE BLVD STE 316",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906509319",
            "telephone_number": "562-864-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12440 FIRESTONE BLVD STE 316",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906509319",
            "telephone_number": "562-864-3722",
            "fax_number": "562-864-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "DALIA",
        "middle_name": "MANUELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW100058",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW77784",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

Verify at the official NPI Registry.