Healthcare Provider Details

I. General information

NPI: 1659844843
Provider Name (Legal Business Name): CLAUDIA DIAZ MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2019
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

745 DOGWOOD RD
WEST PALM BEACH FL
33409-6138
US

IV. Provider business mailing address

745 DOGWOOD RD
WEST PALM BEACH FL
33409-6138
US

V. Phone/Fax

Practice location:
  • Phone: 561-898-0161
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberISW11617
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: