CAROLINA DIAZ LCSW
NPI 1558005389
Social Worker - Clinical in Berwyn, IL

Q: What is Carolina Diaz's NPI number?

The NPI number for Carolina Diaz is 1558005389. It was assigned to this individual provider in the NPPES registry on April 27, 2022.

Q: What is Carolina 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 Carolina Diaz was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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 April 27, 2022PECOS EnrolledAccepts Medicare Assignment

7000 CERMAK RD, BERWYN, IL 60402(708) 484-8090 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2025, Apr 27, 2022 (2 updates tracked since 2022).

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About Carolina Diaz Lcsw NPPES

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

CAROLINA DIAZ LCSW (NPI 1558005389) is an individual clinical provider in Berwyn, Illinois, licensed in Illinois (149.023547) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1558005389

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameCAROLINA DIAZCredential: LCSW

Location Address7000 CERMAK RDBerwyn, IL 60402-2112

Mailing AddressPo Box 746715Atlanta, GA 30374-6715 · (773) 352-1515 · Fax (312) 929-0373

Phone(708) 484-8090

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 27, 2022

Last NPPES UpdateJune 11, 20252 updates tracked since enumeration

NPPES CertifiedJune 11, 2025

✔ NPI 1558005389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in IL · 149.023547

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.

7000 CERMAK RD, Berwyn, IL 60402

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Secondary Practice Location 1

Location 12302 W 48th StChicago, IL 60609-4020 · Phone (773) 758-1247

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carolina Diaz Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618355405

PECOS Enrollment IDI20220607002454

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $60.08 – $183.39

Typical copayment $0.00 (range $15.02 – $45.84)

Most-billed visit code NA

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

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

DR. RON J CHACKO MD

Family Medicine