Individual provider Active NPI

Diana Diaz

  • Clinical Social Worker
  • Evansville, IN
National Provider Identifier
1558054353
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34012134A Issued in IN
Practice address
60 S Stockwell Rd
Evansville, IN 47714-0247
Phone
(812) 476-5437
NPI assigned
May 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34012134A IN Primary

Addresses

Primary practice location

60 S Stockwell Rd
Evansville, IN 47714-0247

Mailing address

415 Mulberry St
Evansville, IN 47713-1230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251024001613 IN Practitioner - Clinical Social Worker 8628566213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

415 Mulberry St
Evansville, IN 47713-1230

4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85271-7630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34012134AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Behavioral Healthcare, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Southwestern Behavioral Healthcare, Inc. CurrentSince Oct 1, 2025 Accepting new patients

Locations

60 S Stockwell Rd
Evansville, IN 47714
Phone (812) 476-5437

414 SE 4th St
Ste 101
Evansville, IN 47713
Phone (812) 424-4880

415 Mulberry St
Evansville, IN 47713
Phone (812) 436-4232

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1558054353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 MULBERRY ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477131230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 S STOCKWELL RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140247",
            "telephone_number": "812-476-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "DIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34012134A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.