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

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: July 19, 2026.

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

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
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

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.

Dentist (General Practice)
7000 CERMAK RD
BERWYN, IL 60402
Physician Assistant
7000 CERMAK RD
BERWYN, IL 60402
Family Medicine
7000 CERMAK RD
BERWYN, IL 60402
Pharmacist
7000 CERMAK RD
BERWYN, IL 60402
Family Medicine
7000 CERMAK RD
BERWYN, IL 60402
Nurse Practitioner (Family)
7000 CERMAK RD
BERWYN, IL 60402
Physician Assistant (Medical)
7000 CERMAK RD
BERWYN, IL 60402
Family Medicine
7000 CERMAK RD
BERWYN, IL 60402

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558005389, enumerated as an "individual" on April 27, 2022.

The provider is located at 7000 CERMAK RD BERWYN, IL 60402 and the phone number is (708) 484-8090.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.