Individual provider Active NPI

Jasmine Brianna Diaz, LCSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1164128385
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C017959 Issued in NC
Practice address
6945 Outfall Point LN
Raleigh, NC 27616-6866
Phone
(919) 763-4384
NPI assigned
Jan 31, 2023
Last updated
Aug 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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 C017959 NC Primary

Addresses

Primary practice location

6945 Outfall Point LN
Raleigh, NC 27616-6866

Mailing address

6945 Outfall Point LN
Raleigh, NC 27616-6866
Phone (919) 763-4384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20250305000487 NC Practitioner - Clinical Social Worker 4789105933 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind PC Clinical CurrentSince Mar 5, 2025 Accepting new patients
Authoracare Collective Current Accepting new patients
Authoracare Collective Clinical CurrentSince Dec 19, 2024 Accepting new patients
Brightside Medical of New Jersey, P.C. CurrentSince Sep 1, 2025 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

914 Chapel Hill Rd
Burlington, NC 27215
Phone (336) 532-0100

2530 Meridian Pkwy
Fl 3
Durham, NC 27713
Phone (919) 389-7316

2500 Summit Ave
Greensboro, NC 27405
Phone (336) 621-2500

2504 Summit Ave
Greensboro, NC 27405
Phone (336) 621-2500

3064 Wake Forest Rd
Raleigh, NC 27609
Phone (415) 360-3345

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1164128385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6945 OUTFALL POINT LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276166866",
            "telephone_number": "919-763-4384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6945 OUTFALL POINT LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276166866",
            "telephone_number": "919-763-4384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "JASMINE",
        "middle_name": "BRIANNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C017959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.