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MICHELLE DIAZ-GAUTREAU
NPI 1881097111
Social Worker - Clinical in Jamaica, NY

Active since October 01, 2014PECOS Enrolled
89-44 164TH ST, JAMAICA, NY 11432(718) 523-2123(718) 523-5833 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 12, 2018, Jul 6, 2018 (2 updates tracked since 2018).

About Michelle Diaz-gautreau NPPES

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

MICHELLE DIAZ-GAUTREAU (NPI 1881097111) is an individual clinical provider in Jamaica, New York, licensed in New York (086893) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and maintains 15 additional practice locations.

NPPES Registry Identity

NPI1881097111
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMICHELLE DIAZ-GAUTREAU
Location Address89-44 164TH STJamaica, NY 11432-6103
Mailing Address60 Madison Ave Fl 5New York, NY 10010-1600 · (212) 545-2409 · Fax (646) 312-0481
Phone(718) 523-2123
Fax(718) 523-5833
Sole ProprietorNo
Enumeration DateOctober 1, 2014
Last NPPES UpdateFebruary 22, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2024
✔ NPI 1881097111 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 NY · 086893
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 092049 (NY)
89-44 164TH ST, Jamaica, NY 11432
Open in Google Maps ↗

Secondary Practice Locations 15

Location 181 W 115th StNew York, NY 10026-3138 · Phone (212) 426-0088 · Fax (212) 426-8367
Location 2350 Grand St Rm 240New York, NY 10002-4629 · Phone (212) 634-7550 ext. 7556
Location 3504 W 158th St Fl 5New York, NY 10032-7202 · Phone (917) 521-3130 ext. 3130
Location 42581 Atlantic AveBrooklyn, NY 11207-2412 · Phone (718) 495-6700 · Fax (646) 988-2840
Location 51167 Nostrand AveBrooklyn, NY 11225-5417 · Phone (718) 778-0198 · Fax (718) 221-8169
Location 636-11 21st StLong Island City, NY 11106-4505 · Phone (718) 482-7772 · Fax (718) 482-9648
Location 7975 Westchester AveBronx, NY 10459-3204 · Phone (718) 320-4466 · Fax (718) 991-3829
Location 894-98 Manhattan AvenueBrooklyn, NY 11206-2505 · Phone (718) 388-0390 · Fax (718) 486-5741
Location 94215 3rd Ave Fl 2Bronx, NY 10457-4501 · Phone (718) 294-5891 · Fax (718) 294-2468
Location 10999 Blake AveBrooklyn, NY 11208-3535 · Phone (718) 277-8303 · Fax (718) 277-4795
Location 119704 Sutphin BlvdJamaica, NY 11435 · Phone (718) 657-7088
Location 1216 E 16th St Fl 1New York, NY 10003-3105 · Phone (212) 206-5200
Location 13150 Essex StNew York, NY 10002-2301 · Phone (212) 477-1120 · Fax (212) 477-8957
Location 14255 E Houston StNew York, NY 10002-1013 · Phone (212) 477-1120 · Fax (212) 477-8957
Location 15511 W 157TH STNew York, NY 10032-5058 · Phone (212) 781-7979 · Fax (212) 781-7963

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Diaz-gautreau is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Michelle Diaz-gautreau reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Shore - Lij Medical PC
5.4 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11432 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 $67.00 – $201.98
Typical copayment $0.00 (range $16.75 – $50.49)
Most-billed visit code NA
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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 3

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

CHARIS-ANN RICKETTS O.D.
Optometrist
89-44 164TH ST
JAMAICA, NY 11432
Queens County (718) 523-2123
COMMUNITY HEALTHCARE NETWORK, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
89-44 164TH ST
JAMAICA, NY 11432
Queens County (718) 523-2123
SASHA LAWSON NP
Nurse Practitioner (Psychiatric/Mental Health)
89-44 164TH ST
JAMAICA, NY 11432
Queens County (718) 523-2123

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 Michelle Diaz-gautreau's NPI number?

The NPI number for Michelle Diaz-gautreau is 1881097111. It was assigned to this individual provider in the NPPES registry on October 1, 2014.

Where is Michelle Diaz-gautreau located?

Michelle Diaz-gautreau practices at 89-44 164th St, Jamaica, NY 11432. The listed phone number is (718) 523-2123.

What is Michelle Diaz-gautreau's specialty?

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

Is Michelle Diaz-gautreau enrolled in Medicare?

Yes. Michelle Diaz-gautreau is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michelle Diaz-gautreau's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Diaz-gautreau reassigns Medicare benefits to North Shore - Lij Medical PC (New Hyde Park, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle Diaz-gautreau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michelle Diaz-gautreau was last updated on February 22, 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.