Healthcare Provider Details

I. General information

NPI: 1407761208
Provider Name (Legal Business Name): ROSEMARIE DIAZ LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 LOYOLA AVE STE 201
NEW ORLEANS LA
70150-5001
US

IV. Provider business mailing address

1214 SONIAT ST
NEW ORLEANS LA
70115-2932
US

V. Phone/Fax

Practice location:
  • Phone: 504-355-0825
  • Fax:
Mailing address:
  • Phone: 201-220-6261
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number17592
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: