Individual provider · Type 1 NPI

Hayden Maxwell Gorr-Diaz, AM

Clinical Social Worker · Evanston, IL

NPI number 1700663341 Active

Practice location

1740 Ridge Ave Ste LL15A
Evanston, IL 60201-5919

Mailing address

655 W Irving Park Rd Apt 308
Chicago, IL 60613-3135

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 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 1700663341

Hayden Maxwell Gorr-Diaz, AM's National Provider Identifier is 1700663341, issued on Sep 8, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Evanston, IL. The record was last updated on Jan 19, 2026.