Amanda J Diaz, LCSW is a 
Social Worker - Clinical based in Rochester, New York. Amanda J Diaz is licensed to practice in New York (license number 094633-01) and her current practice location is 
2450 W Ridge Rd Ste 304a, Rochester, New York. She can be reached at her office (for appointments etc.) via phone at 
(315) 975-9450.
NPI number for Amanda J Diaz is 1144536939 and her current mailing address is 2450 W Ridge Rd Ste 304a, Rochester, New York. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144536939.
			
			
			
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Amanda J Diaz | 
|---|
| Gender | Female | 
|---|
| Speciality | Social Worker - Clinical | 
|---|
| Location | 2450 W Ridge Rd Ste 304a, Rochester, New York | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1144536939
 - Provider Enumeration Date: 08/31/2010
 - Last Update Date: 09/27/2023
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Amanda J Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1144536939 | NPI | - | NPPES | 
| 01420800 | Medicaid | NY |  | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 101YA0400X | Counselor - Addiction (substance Use Disorder)  |  (New York) | Secondary | 
| 104100000X | Social Worker  | 098993-1 (New York) | Secondary | 
| 1041C0700X | Social Worker - Clinical  |  (* (Not Available)) | Secondary | 
| 1041C0700X | Social Worker - Clinical  | 094633-01 (New York) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda J Diaz is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Amanda J Diaz, LCSW 2450 W Ridge Rd Ste 304a, Rochester, NY 14626-3037 Ph: (315) 975-9450 | Amanda J Diaz, LCSW 2450 W Ridge Rd Ste 304a, Rochester, NY 14626-3037 Ph: (315) 975-9450 | 
		
		 
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