Active NPI
Elvia Correa Diaz, L.C.S.W.
- Clinical Social Worker
- Garden Grove, CA
National Provider Identifier
1871852913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS13563
- Practice address
- 12377 Lewis St Ste 105
Garden Grove, CA 92840-4691 - Phone
- (800) 577-4701
- NPI assigned
- May 10, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS13563 | CA | Primary |
Addresses
Primary practice location
12377 Lewis St Ste 105
Garden Grove, CA 92840-4691
Mailing address
12377 Lewis St Ste 105
Garden Grove, CA 92840-4691
Phone (800) 577-4701
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS13563 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349136000000",
"number": "1871852913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12377 LEWIS ST STE 105",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928404691",
"telephone_number": "800-577-4701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12377 LEWIS ST STE 105",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928404691",
"telephone_number": "800-577-4701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "ELVIA",
"middle_name": "CORREA",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-10",
"last_updated": "2012-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS13563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.