Abraham Diaz, LCSW

Individual provider Active NPI Clinical Social Worker · Elmwood Park, IL

NPI 1124667308 · NPPES record last updated Feb 19, 2024

Key facts

NPI
1124667308
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
7632 W Armitage Ave
Elmwood Park, IL 60707-3616
Phone
(312) 305-5416
NPI assigned
Jan 5, 2020
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Therapy Studio PLLC Clinical Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

7632 W Armitage Ave
Elmwood Park, IL 60707-3616

Mailing address

7632 W Armitage Ave
Elmwood Park, IL 60707-3616
Phone (312) 305-5416

Other providers in Elmwood Park, IL

All providers in Elmwood Park, IL · Clinical Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.