Nicole E Buddle-Diaz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004130 Issued in GA

Practice address

2300 Lakeview Pkwy Ste 700
Alpharetta, GA 30009-9066

Phone

(678) 699-6208

Fax

(678) 916-3810

NPI assigned

Nov 30, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Therapeutic Alliance LLC

  • Clinical Social Worker
  • Alpharetta, GA
  • NPI 1437778354
  NPD Authorized official
• Essential Matters Counseling & Therapy, LLC

  • Clinical Social Worker
  • Marietta, GA
  • NPI 1841842283
  NPD (past)

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1407158165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 LAKEVIEW PKWY STE 700",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300099066",
            "telephone_number": "678-699-6208",
            "fax_number": "678-916-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 LAKEVIEW PKWY STE 700",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300099066",
            "telephone_number": "678-699-6208",
            "fax_number": "678-916-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDDLE-DIAZ",
        "first_name": "NICOLE",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-30",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CAP 3256",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6986",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryman & Associates, Inc. (Cpaps, Etc.)
• William L. Buchanan, PH.D.
• Courtney L Buck, RD,LDN
• Danielle Buckles, RDH
• Zaria Buckner
• Alexis Buelow, FNP
• Mandy M Buffington, SLP
• Kailynn Buissereth
• Irina Bukshteyn, FNP-C
• Nelson David Bulmash, DC

• Clinical Social Worker in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.