| Doctor Name: | DANIEL F LEAL-DIAZ |
| NPI Number: | 1073959250 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | 44SC05605400 |
| Business Practice Address: | 1753 Raleigh Ct E Apt 154a Ocean, NJ - 077122668 |
| Business Phone Number: | 9179226786 |
| Business Fax Number: | |
| Mailing Address: | 1753 Raleigh Ct E, Apt 154a OCEAN |
| State: | NJ |
| Postal Code: | 077122668 |
| Phone Number: | 9179226786 |
| Fax Number: | |
| NPI Enumeration Date: | 05/15/2013 |
| NPI Last Update Date: | 03/17/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 44SC05605400 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |