Active NPI
Mary Page Diaz-Estabillo, LSCSW
- Clinical Social Worker
- Manhattan, KS
National Provider Identifier
1508488404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 07051
- Practice address
- 1445 Anderson Ave
Manhattan, KS 66502-4030 - Phone
- (785) 333-3793
- Fax
- (785) 390-8500
- NPI assigned
- May 13, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Social Worker | 1041C0700X | 07051 | KS | Primary |
Addresses
Primary practice location
1445 Anderson Ave
Manhattan, KS 66502-4030
Mailing address
1445 Anderson Ave
Manhattan, KS 66502-4030
Phone (785) 333-3793
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 |
|---|---|---|---|
| 07051 | KS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diane Clark LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768953600000",
"number": "1508488404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1445 ANDERSON AVE",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665024030",
"telephone_number": "785-333-3793",
"fax_number": "785-390-8500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1445 ANDERSON AVE",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665024030",
"telephone_number": "785-333-3793",
"fax_number": "785-390-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ-ESTABILLO",
"first_name": "MARY PAGE",
"credential": "LSCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-13",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "07051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manhattan, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.