Individual provider · Type 1 NPI

Samantha Diaz

Clinical Social Worker · Los Angeles, CA

NPI number 1003416447 Active

Practice location

2121 W Temple St
Los Angeles, CA 90026-4915

Mailing address

333 S Beaudry Ave
Los Angeles, CA 90017-1466

Other practice locations

  • 333 S Beaudry Ave, Los Angeles, CA 90017-1466 · (213) 241-3841

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XASW131667 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Behavior Technician 106S00000XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1003416447

Samantha Diaz's National Provider Identifier is 1003416447, issued on Oct 26, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 3, 2025.