Active NPI
Susana Diaz
- Social Worker
- El Paso, TX
National Provider Identifier
1386383511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 67002
- Practice address
- 15033 Dream CT
El Paso, TX 79938-4690 - Phone
- (915) 383-2823
- NPI assigned
- Jun 4, 2022
- Last updated
- Jun 4, 2022
- 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 | 67002 | TX | Primary |
Addresses
Primary practice location
15033 Dream CT
El Paso, TX 79938-4690
Mailing address
15033 Dream CT
El Paso, TX 79938-4690
Phone (915) 383-2823
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33906710 | Other | TX | MULTIPLE |
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 |
|---|---|---|---|
| 67002 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654300800000",
"number": "1386383511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15033 DREAM CT",
"city": "EL PASO",
"state": "TX",
"postal_code": "799384690",
"telephone_number": "915-383-2823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15033 DREAM CT",
"city": "EL PASO",
"state": "TX",
"postal_code": "799384690",
"telephone_number": "915-383-2823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "SUSANA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-04",
"last_updated": "2022-06-04",
"certification_date": "2022-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "67002",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLE",
"identifier": "33906710",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.