Active NPI
Isabela Grace Diaz, CSWA, MSW
- Social Worker
- Portland, OR
National Provider Identifier
1316773278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- A15543
- Practice address
- 1201 SW 12TH Ave Ste 224
Portland, OR 97205-2083 - Phone
- (971) 251-9856
- NPI assigned
- Sep 9, 2024
- Last updated
- Sep 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | A15543 | OR | Primary |
Addresses
Primary practice location
1201 SW 12TH Ave Ste 224
Portland, OR 97205-2083
Mailing address
4835 SW Oleson Rd Apt D4
Portland, OR 97225-1447
Phone (405) 802-1610
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
| License | State | Type | Specialty |
|---|---|---|---|
| A15543 | OR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1316773278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4835 SW OLESON RD APT D4",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972251447",
"telephone_number": "405-802-1610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 SW 12TH AVE STE 224",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972052083",
"telephone_number": "971-251-9856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "ISABELA",
"middle_name": "GRACE",
"credential": "CSWA, MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-09",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OR",
"license": "A15543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.