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NPI Code Detail

MEDICARE: JACLYN MICHELLE WINDSOR DIAZ LCSW

MEDICARE:   JACLYN MICHELLE WINDSOR DIAZ  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker12731-CNV

General Provider Information

NPI Number : 1952970741
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACLYN MICHELLE WINDSOR DIAZ LCSW
Provider Business Mailing Address
First Line : 2655 ENTERPRISE RD
Second Line :
City : RENO
State : NV
Zip : 89512-1666
Country : US
Telephone Number : 775-525-8103
Fax Number : 775-525-8105
Provider Business Practice Location Address
First Line : 2655 ENTERPRISE RD
Second Line :
City : RENO
State : NV
Zip : 89512-1666
Country : US
Telephone Number : 775-688-2469
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2021
Last Update Date : 12/10/2025

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Directions to “ JACLYN MICHELLE WINDSOR DIAZ LCSW” Practice Location

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