Individual provider · Type 1 NPI

Gabrielle Diaz

Clinical Social Worker · Evanston, IL

NPI number 1992424055 Active

Practice location

1007 Church St Ste 312
Evanston, IL 60201

Mailing address

11061 W Carnahan Ave
Beach Park, IL 60099-3401

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149030663 (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 1992424055

Gabrielle Diaz's National Provider Identifier is 1992424055, issued on Aug 23, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Evanston, IL. The record was last updated on Dec 18, 2025.