Individual provider · Type 1 NPI

Jessica Diaz

Clinical Social Worker · Gardena, CA

NPI number 1023779840 Active

Practice location

108 W Victoria St
Gardena, CA 90248-3523

Call (310) 715-2020 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X136476 (CA)
Social Worker 104100000XNone listed
Rehabilitation Practitioner 225400000XNone listed
Clinical Social Worker 1041C0700XNone 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 1023779840

Jessica Diaz's National Provider Identifier is 1023779840, issued on Jan 4, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gardena, CA. The record was last updated on Jan 26, 2026.