KELLY ANN DIAZ-HYDE MSW
NPI 1174213250
Social Worker - Clinical in South Portland, ME

Active since May 11, 2023
55 FODEN RD, SOUTH PORTLAND, ME 04106(207) 854-1030 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Ann Diaz-hyde Msw NPPES

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

KELLY ANN DIAZ-HYDE MSW (NPI 1174213250) is an individual clinical provider in South Portland, Maine, licensed in Maine (MC22550) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1174213250
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY ANN DIAZ-HYDECredential: MSW
Location Address55 FODEN RDSouth Portland, ME 04106-1717
Mailing Address55 Foden RdSouth Portland, ME 04106-1717 · (954) 415-5910
Sole ProprietorNo
Enumeration DateMay 11, 2023
Last NPPES UpdateOctober 15, 2025
NPPES CertifiedOctober 15, 2025
NPI 1174213250 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 ME · MC22550
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 ListedSocial WorkerTaxonomy 104100000X · License LSX20864 (ME)
55 FODEN RD, South Portland, ME 04106

Other Providers at the Same Location NPPES 11

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

Social Worker (Clinical)
55 FODEN RD
SOUTH PORTLAND, ME 04106
Acupuncturist
55 FODEN RD
SOUTH PORTLAND, ME 04106
Home Health
55 FODEN RD, SUITE 1
SOUTH PORTLAND, ME 04106
Social Worker (Clinical)
55 FODEN RD
SOUTH PORTLAND, ME 04106
Social Worker (School)
55 FODEN RD
SOUTH PORTLAND, ME 04106
Social Worker
55 FODEN RD
SOUTH PORTLAND, ME 04106
Acupuncturist
55 FODEN RD
SOUTH PORTLAND, ME 04106
Counselor (Mental Health)
55 FODEN RD
SOUTH PORTLAND, ME 04106

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Diaz-hyde's NPI number?

The NPI number for Kelly Diaz-hyde is 1174213250. It was assigned to this individual provider in the NPPES registry on May 11, 2023.

Where is Kelly Diaz-hyde located?

Kelly Diaz-hyde practices at 55 Foden Rd, South Portland, ME 04106. The listed phone number is (207) 854-1030.

What is Kelly Diaz-hyde's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Diaz-hyde was last updated on October 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.