| Doctor Name: | MS. DIANA MARCELA DIAZ |
| NPI Number: | 1003087925 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 0904009051 |
| Business Practice Address: | 2740 Prosperity Ave Ste 200 Fairfax, VA - 220314354 |
| Business Phone Number: | 7033212687 |
| Business Fax Number: | |
| Mailing Address: | 2740 Prosperity Ave Ste 200, FAIRFAX |
| State: | VA |
| Postal Code: | 220314354 |
| Phone Number: | 7033212687 |
| Fax Number: | |
| NPI Enumeration Date: | 03/19/2008 |
| NPI Last Update Date: | 01/26/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 0904009051 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |