Individual provider · Type 1 NPI

Ann Diana Mata

Clinical Social Worker · Los Angeles, CA

NPI number 1639073356 Active

Practice location

1400 S Grand Ave Ste 600
Los Angeles, CA 90015-3068

Call (213) 742-6250 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XASW141729 (CA)

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 1639073356

Ann Diana Mata's National Provider Identifier is 1639073356, issued on Oct 6, 2026. 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 Oct 6, 2026.