KIMBERLY E DIAZ
NPI 1063995413
Social Worker - Clinical in Loma Linda, CA

Q: What is Kimberly Diaz's NPI number?

The NPI number for Kimberly Diaz is 1063995413. It was assigned to this individual provider in the NPPES registry on September 12, 2018.

Q: What is Kimberly Diaz's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Diaz was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 12, 2018

11201 BENTON ST, LOMA LINDA, CA 92357(909) 825-7084 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 1, 2024, Jan 5, 2021, Dec 16, 2020 and 4 more (7 updates tracked since 2018).

On this page

About Kimberly E Diaz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY E DIAZ (NPI 1063995413) is an individual clinical provider in Loma Linda, California, licensed in Illinois (150.112013) and active in the NPI registry since September 2018. She maintains a secondary practice location in Pomona.

NPPES Registry Identity

NPI1063995413

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKIMBERLY E DIAZ

Location Address11201 BENTON STLoma Linda, CA 92357-1000

Mailing Address11201 Benton StLoma Linda, CA 92357-1000 · (909) 825-7084

Phone(909) 825-7084

Sole ProprietorNo

Enumeration DateSeptember 12, 2018

Last NPPES UpdateMay 1, 20247 updates tracked since enumeration

NPPES CertifiedMay 1, 2024

✔ NPI 1063995413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in IL · 150.112013

Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License ASW96426 (CA)

11201 BENTON ST, Loma Linda, CA 92357

Open in Google Maps ↗

Secondary Practice Location 1

Location 12008 N Garey AvePomona, CA 91767-2722 · Phone (909) 623-6131

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ARTHUR CHUNG-LIUNG CHANG M.D.

Radiology (Diagnostic Radiology)

11201 BENTON ST, VA LOMA LINDA HEALTHCARE SYSTEM - DEPT OF RADIOLOGY
LOMA LINDA, CA 92357

San Bernardino County (909) 825-7084

JUNGMI LEE LCSW

Social Worker (Clinical)