Active NPI
Victor M. Diaz, LCSW
- Clinical Social Worker
- Edcouch, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 60457
- Practice address
- 10065 E Monte Cristo Rd
Edcouch, TX 78538-2533 - Phone
- (956) 756-4035
- NPI assigned
- Jun 8, 2017
- Last updated
- Feb 5, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C015814 | NC | |
| Case Manager/Care Coordinator | 171M00000X | 60457 | TX | |
| Clinical Social Worker | 1041C0700X | 60457 | TX | Primary |
Addresses
Primary practice location
10065 E Monte Cristo Rd
Edcouch, TX 78538-2533
Mailing address
2290 W. Pike Blvd.,Suite 201-B
Weslaco, TX 78596
Phone (956) 246-4220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C015814 | NC | MD | Clinical Social Worker |
| 60457 | TX | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| The Counseling Center | Clinical | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689
700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391
Organizations & group practices 2
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": "1496880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707091200000",
"number": "1497284798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2290 W. PIKE BLVD.,SUITE 201-B",
"city": "WESLACO",
"state": "TX",
"postal_code": "78596",
"telephone_number": "956-246-4220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10065 E MONTE CRISTO RD",
"city": "EDCOUCH",
"state": "TX",
"postal_code": "785382533",
"telephone_number": "956-756-4035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "VICTOR",
"middle_name": "M.",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-08",
"last_updated": "2024-02-05",
"certification_date": "2024-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C015814",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "TX",
"license": "60457",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "60457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edcouch, TX
- Juan Jose Carrales, PA
- Clearpath Medical Transportation, LLC
- Concord Hospice Care LLC
- Delta Mobile Radiology, LLC
- Delta Oaks, LLC
- Dulces Caricias Adult Day Care LLC
- Edcouch-Elsa Isd
- El Alfarero Y Yo PHC, LLC
- El Sinai Hospice and Palliative Care, LLC.
- Escobar and Valadez ENT. Dba Friends and Neighbors
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.