Erica Diaz, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

314603 Issued in MA

Practice address

10 Christy Dr
Brockton, MA 02301-1812

Phone

(508) 580-8700

NPI assigned

Sep 14, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1528516010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 BELLEVUE AVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023021808",
            "telephone_number": "508-631-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CHRISTY DR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011812",
            "telephone_number": "508-580-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "ERICA",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "314603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jagdish K Dhingra, M.D.
• Aissatou Diallo
• Danielle Lee Dias, MA
• Lucia Fatima Dias, PTA
• Eliezel Eloi Diaz I
• Ivette Diaz
• Nicole Dicecca, MA
• Mark S Dichter, MD
• Barbara Dickey
• Mary Ellen Dickinson, C-PNP

• Clinical Social Worker in Brockton, MA
• Providers in Brockton, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.