Individual provider Active NPI

Kathleen Diak, LMSW

  • Social Worker
  • Albuquerque, NM
National Provider Identifier
1124063524
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
M-05922 Issued in NM
Practice address
1010 Las Lomas Rd NE
Suite 4
Albuquerque, NM 87102-2634
Phone
(505) 246-8700
NPI assigned
Jun 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X M-05922 NM Primary

Addresses

Primary practice location

1010 Las Lomas Rd NE
Suite 4
Albuquerque, NM 87102-2634

Mailing address

5312 Chesapeake Rd NW
Albuquerque, NM 87120-4569
Phone (505) 890-1305

Other identifiers 1

IdentifierTypeStateIssuer
M-05922OtherNMNM SOCIAL WORK LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
M-05922NMMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Grande Counseling & Guidance Services, PA Past Accepting new patients
Rio Grande Counseling Past Accepting new patients

Organizations & group practices 2

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124063524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5312 CHESAPEAKE RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871204569",
            "telephone_number": "505-890-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 LAS LOMAS RD NE",
            "address_2": "SUITE 4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022634",
            "telephone_number": "505-246-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAK",
        "first_name": "KATHLEEN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "M-05922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM SOCIAL WORK LICENSE",
            "identifier": "M-05922",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.