- Practice location
- 89-44 164TH St, Jamaica, NY 11432-6103
- Phone
- 718-523-2123
- Fax
- 718-523-5833
- Last updated
- February 22, 2024
Michelle Diaz-Gautreau is a Social Worker, Clinical based in Jamaica, NY. Michelle Diaz-Gautreau practices in Jamaica, NY. The NPI Number for Michelle Diaz-Gautreau is 1881097111 and holds a License No. 092049 (NY). The current practice location address for Michelle Diaz-Gautreau is 89-44 164TH St, Jamaica, NY 11432-6103 and can be reached out via phone at 718-523-2123 and via fax at 718-523-5833.
Provider Profile Details
- NPI Number
- 1881097111
- Provider Name
- Michelle Diaz-Gautreau
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 89-44 164TH St, Jamaica, NY 11432-6103
- Phone Number
- 718-523-2123
- Fax Number
- 718-523-5833
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 1, 2014
- Last Update Date
- February 22, 2024
- Certification Date
- February 20, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 89-44 164TH St
Jamaica, NY 11432-6103 - City
- Jamaica
- State
- New York
- Zip
- 11432-6103
- Phone Number
- 718-523-2123
- Fax Number
- 718-523-5833
Provider Business Mailing Address Details
- Address
- 60 Madison Ave Fl 5
New York, NY 10010-1600 - City
- New York
- State
- NY
- Zip
- 10010-1600
- Phone Number
- 212-545-2409
- Fax Number
- 646-312-0481
License Information
- License Number (1)
- 092049
- License State (1)
- NY
- Taxonomy (1)
- Social Worker · 104100000X
- License Number (2)
- 086893
- License State (2)
- NY
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Jamaica, NY
View all Social Worker, Clinical providers in Jamaica →- Catherine Altieri, LMSWSocial Worker, Clinical · NPI 1457786477
- Destony Stewart, LCSWSocial Worker, Clinical · NPI 1619418456
- Mr. Clinton Popo, LMSWSocial Worker, Clinical · NPI 1326296047
- Dr. Farah Azam, ODOptometrist · NPI 1073426391
- Dr. Suzette Brown, MDPediatrics · NPI 1508032533
- Rubina Bhura, DOFamily Medicine · NPI 1649967225
Frequently Asked Questions
What is the NPI number of Michelle Diaz-Gautreau?
The NPI number of Michelle Diaz-Gautreau is 1881097111. It was assigned on October 1, 2014 and is currently active in the NPPES registry.
What is the specialty of Michelle Diaz-Gautreau?
Michelle Diaz-Gautreau is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 092049.
Where does Michelle Diaz-Gautreau practice?
The practice location is 89-44 164TH St, Jamaica, NY 11432-6103. The office can be reached at 718-523-2123 (phone) or 718-523-5833 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1881097111 directly on the NPPES registry website.