Individual provider Active NPI

Lazaro Diaz, LCSW

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1104093905
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW13869 Issued in FL
Practice address
755 SW 6TH St Apt 8
Miami, FL 33130-2626
Phone
(786) 380-6496
NPI assigned
May 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW13869 FL Primary

Addresses

Primary practice location

755 SW 6TH St Apt 8
Miami, FL 33130-2626

Mailing address

755 SW 6TH St Apt 8
Miami, FL 33130-2626
Phone (786) 380-6496

Other practice location 1

3830 W Flagler St
Coral Gables, FL 33134-1604
Phone (305) 774-3616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210622002731 FL Practitioner - Clinical Social Worker 6305247867 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PHP Mental Health Center IncGroup PAC ID 9830535939, 8 clinicians
Family Health Community IncGroup PAC ID 3577964956, 12 clinicians

Practice addresses (Care Compare)

10665 SW 190TH St
Suite 3213
Cutler Bay, FL 33157-7706
Phone (786) 760-6451

8725 NW 18TH Ter
Suite 206
Doral, FL 33172-2629
Phone (786) 451-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW13869FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Community Inc CurrentSince Aug 10, 2022 Accepting new patients
Best Choice Medical Center Inc 1. CurrentSince Aug 22, 2022 Accepting new patients
G & G Behavioral Center Inc CurrentSince Feb 5, 2024 Accepting new patients
CMP Medical Center Corp. CurrentSince Sep 23, 2024 Accepting new patients
PHP Mental Health Center Inc CurrentSince Oct 1, 2024 Accepting new patients

Locations

10665 SW 190th St
Ste 3213
Cutler Bay, FL 33157
Phone (786) 380-2077

8725 NW 18th Ter
Ste 206
Doral, FL 33172
Phone (786) 451-8700

7309 W Flagler St
Miami, FL 33144
Phone (786) 703-1390

1797 SW 22nd St
Miami, FL 33145
Phone (305) 842-0378

8764 SW 8th St
Unit 12
Miami, FL 33174
Phone (786) 409-3303

Organizations & group practices 6

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": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1104093905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 SW 6TH ST APT 8",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331302626",
            "telephone_number": "786-380-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 SW 6TH ST APT 8",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331302626",
            "telephone_number": "786-380-6496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3830 W Flagler St",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331341604",
            "country_code": "US",
            "telephone_number": "305-774-3616",
            "fax_number": "305-476-2640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "LAZARO",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-12",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.