Individual provider · Type 1 NPI
Jessica L. Diaz, MSW
Clinical Social Worker · Indianapolis, IN
Practice location
1224 Laurel St
Indianapolis, IN 46203-1908
Mailing address
1345 Barth Ave
Indianapolis, IN 46203-1822
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 33007906A (IN) |
| Professional Counselor | 101YP2500X | 33007906A (IN) |
| Social Worker | 104100000X | 33007906A (IN) |
| Clinical Social Worker Primary | 1041C0700X | 33007906A (IN) |
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 1306354683
Jessica L. Diaz, MSW's National Provider Identifier is 1306354683, issued on Jan 20, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Indianapolis, IN. The record was last updated on Jan 20, 2018.