Jessica Lisbet Diaz, LCSW97835

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW97835 Issued in CA

Practice address

901 W Victoria St. Suite F & G
Compton, CA 90220

Phone

(310) 707-2820

Fax

(310) 669-9501

NPI assigned

Aug 15, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

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.

• The Guidance Center

  • Community/Behavioral Health Agency
  • Compton, CA
  • NPI 1467582734
  NPD (past)

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1366841306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W VICTORIA ST STE F&G",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902205807",
            "telephone_number": "310-707-2820",
            "fax_number": "310-669-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W VICTORIA ST. SUITE F & G",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "90220",
            "telephone_number": "310-707-2820",
            "fax_number": "310-669-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "JESSICA",
        "middle_name": "LISBET",
        "credential": "LCSW97835",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-15",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW67504",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "LCSW97835",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW97835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Department of Menal Helath Compton
• Department of Mental Health
• Department of Veteran Affairs
• Development Specialty Projects, Inc.
• Guadalupe Diaz
• Erica Dickson
• Virginia Diego, DDS
• Grace L. Dixon
• Renee L. Dolberry, MS, M.ED, CCC-SLP
• Rafael Dominguez

• Clinical Social Worker in Compton, CA
• Providers in Compton, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.