Individual provider · Type 1 NPI

Mayra Diaz

Clinical Social Worker · Chicago, IL

NPI number 1992320485 Active

Practice location

2653 W Ogden Ave Fl 2
Chicago, IL 60608-1647

Call (773) 257-6672 Map

Mailing address

3539 W Le Moyne St
Chicago, IL 60651-2210

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700X149027238 (IL)

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 1992320485

Mayra Diaz's National Provider Identifier is 1992320485, issued on Jun 10, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Oct 28, 2025.