Individual provider Active NPI

Victoria Plechac-Diaz, LCSW

  • Clinical Social Worker
  • Edgewater, FL
National Provider Identifier
1396562187
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW23451 Issued in FL
Practice address
239 N Ridgewood Ave
Edgewater, FL 32132-1734
Phone
(386) 427-4868
Fax
(386) 427-5157
NPI assigned
Sep 23, 2024
Last updated
Nov 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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 SW23451 FL Primary

Addresses

Primary practice location

239 N Ridgewood Ave
Edgewater, FL 32132-1734

Mailing address

239 N Ridgewood Ave
Edgewater, FL 32132-1734
Phone (386) 427-4868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20241112001975 FL Practitioner - Clinical Social Worker 8729512892 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Health Care Plan IncGroup PAC ID 9436201233, 97 clinicians

Practice addresses (Care Compare)

239 N Ridgewood Ave
Edgewater, FL 32132-1734
Phone (386) 427-4868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Jun 11, 2025 Accepting new patients
Florida Health Care Plan, Inc CurrentSince Nov 4, 2024 Accepting new patients
Florida Health Care Plan, Inc CurrentSince Nov 4, 2024 Accepting new patients

Locations

239 N Ridgewood Ave
Edgewater, FL 32132
Phone (386) 423-4212

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

740 Dunlawton Ave
Ste 200
Port Orange, FL 32127
Phone (386) 763-1000

Organizations & group practices 3

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": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1396562187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 N RIDGEWOOD AVE",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321321734",
            "telephone_number": "386-427-4868",
            "fax_number": "386-427-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 N RIDGEWOOD AVE",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321321734",
            "telephone_number": "386-427-4868",
            "fax_number": "386-427-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLECHAC-DIAZ",
        "first_name": "VICTORIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW23451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, FL

Sources for this page

Verify at the official NPI Registry.