Andreisy Tavarez Diaz
Social Worker, Clinical in Providence, RI. Individual provider (NPI-1).
NPI number1972432011
StatusActive
Last updated in NPPESMay 15, 2026
Details
- NPI
- 1972432011
- Entity type
- Individual (NPI-1)
- Name
- Andreisy Tavarez Diaz
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 15, 2026
- Certification date
- May 15, 2026
- Last updated
- May 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | RI | Yes |
Practice location
138 Hazael StProvidence, RI 02908-1314
Phone 401-499-3251
Mailing address
138 Hazael StProvidence, RI 02908-1314
Phone 401-499-3251
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