| Sandra Diaz Consulting Llc | |
|
7 Aewa Pl Ste 7 Makawao HI 96768-8882 | |
| (808) 298-6592 | |
| (808) 633-8527 |
| Full Name | Sandra Diaz Consulting Llc |
|---|---|
| Speciality | Social Worker |
| Location | 7 Aewa Pl Ste 7, Makawao, Hawaii |
| Authorized Official Name and Position | Sandra Diaz (LCSW) |
| Authorized Official Contact | 8082986592 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Diaz Consulting Llc Po Box 1164 Makawao HI 96768-1164 Ph: (808) 298-6592 | Sandra Diaz Consulting Llc 7 Aewa Pl Ste 7 Makawao HI 96768-8882 Ph: (808) 298-6592 |
| NPI Number | 1093434391 |
|---|---|
| Provider Enumeration Date | 08/22/2022 |
| Last Update Date | 09/08/2023 |
| Certification Date | 09/08/2023 |
| Medicare PECOS PAC ID | 8224407085 |
|---|---|
| Medicare Enrollment ID | O20230823001926 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093434391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sandra Diaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487091831 PECOS PAC ID: 9830596451 Enrollment ID: I20210924001331 |
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