Ana Maria Diaz, LCSW-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P019626 Issued in NC

Practice address

3622 Lyckan Pkwy Ste 1001
Durham, NC 27707-2565

Phone

(919) 602-6766

NPI assigned

Aug 16, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Clare a. Stadlen, LCSW, PLLC

  • Clinical Social Worker
  • Durham, NC
  • NPI 1578939740
  NPD (past)

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1205619913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 KENDALL DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277035229",
            "telephone_number": "757-320-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 LYCKAN PKWY STE 1001",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072565",
            "telephone_number": "919-602-6766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2310 S Miami Blvd Ste 236",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277034900",
            "country_code": "US",
            "telephone_number": "919-602-6766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "ANA",
        "middle_name": "MARIA",
        "credential": "LCSW-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P019626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scarlet Brammer Dial, FNP-C
• Sanjukta Dutta Diallo, MD
• Thomas E Diamond, CRNA
• Elizabeth Katharine Dias, PT, DPT, PCS
• Jenni Liane Dias, RDN, LDN, CDCES
• Andrew Diaz, PHARMD
• Ashley Diaz, MD
• Brian David Diaz, M.P.T.
• Drew Michael Diaz, MD
• Kendal Diaz, M.S. SLP

• Clinical Social Worker in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.