Kaitlin Diaz, MSW, LSW
NPI 1639794514ActiveIndividual· Social Worker· Mahwah, NJ
Social Worker (MSW, LSW) in Mahwah, New Jersey, licensed in NJ, with an NPI issued in June 2020. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1639794514 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSW, LSW |
| Sole proprietor | No |
| NPI issued | Jun 16, 2020 |
| Last updated in NPPES | Oct 26, 2021 |
| Certified by provider | Oct 26, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | 44SL05812100 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (CT) |
|---|
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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