Courtney Bober Diaz, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

27438 Issued in CA

Practice address

1340 Tully Rd Ste 304
San Jose, CA 95122

Phone

(408) 271-3900

NPI assigned

Aug 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Courtney Alyson Bober Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Healthright 360

  dba Haight Ashbury Free Clinic

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
  • NPI 1760427843
  NPD
• Healthright 360

  • Community/Behavioral Health Agency
  • South San Francisco, CA
  • NPI 1265563688
  NPD (past)

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1538352497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 TULLY RD STE 304",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951223055",
            "telephone_number": "408-271-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 TULLY RD STE 304",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95122",
            "telephone_number": "408-271-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 E Virginia St",
            "address_2": "Suite 280",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951125857",
            "country_code": "US",
            "telephone_number": "408-287-6200 x2372",
            "fax_number": "408-998-1535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "COURTNEY",
        "middle_name": "BOBER",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "27438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "BOBER",
            "middle_name": "ALYSON",
            "prefix": "MS.",
            "credential": "MSW, ASW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bryan Diaz Ramirez
• Citlali Diaz-Parra
• Alejandra Diaz
• Briana Diaz
• Carmenluz Diaz
• Diana Diaz
• Edelmira I Diaz, M.S.W.
• Edgar Jose Diaz, B.A.
• Elizabeth Catalina Diaz
• Gerald Moral Diaz, M.D.

• Clinical Social Worker in San Jose, CA
• Providers in San Jose, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.

Verify at the official NPI Registry.