Angel E Escamilla-Diaz

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

257613 Issued in KY

Practice address

861 Corporate Dr
Lexington, KY 40503-5432

Phone

(859) 971-2585

Fax

(859) 971-7594

NPI assigned

Mar 6, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1417657735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 ELIDA RD",
            "city": "DELPHOS",
            "state": "OH",
            "postal_code": "458339056",
            "telephone_number": "419-685-8010",
            "fax_number": "419-695-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 CORPORATE DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405035432",
            "telephone_number": "859-971-2585",
            "fax_number": "859-971-7594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCAMILLA-DIAZ",
        "first_name": "ANGEL",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "257613",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "257613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Erway, BCBA
• Amber Erwin, PA-C
• Carol Ann Erwin, R.PH.
• Gracie Janelle Erwin
• James Eric Escaloni, PT
• Edward J Escott, MD
• Walid Eshanta
• Melinda Anne Eshelman, M.D.
• Tadesse Eshetu, M.D.
• Naghmehossadat Eshghi, MD

• Clinical Social Worker in Lexington, KY
• Providers in Lexington, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.