Individual provider · Type 1 NPI

Elizabeth Maria Diez Licea

Clinical Social Worker · Cutler Bay, FL

NPI number 1407374192 Active

Practice location

10300 SW 216th St
Cutler Bay, FL 33190-1003

Mailing address

13371 SW 17th Ln Apt 8
Miami, FL 33175-7634

Other practice locations

  • 13371 SW 17th Ln Apt 8, Miami, FL 33175-7634 · (786) 230-0590

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW22055 (FL)
Mental Health Counselor 101YM0800XSW22055 (FL)

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 1407374192

Elizabeth Maria Diez Licea's National Provider Identifier is 1407374192, issued on Sep 2, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cutler Bay, FL. The record was last updated on Aug 6, 2026.