Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gabrielle Diaz

Individual provider Clinical Social Worker · NPI 1992424055

Gabrielle Diaz is a Clinical Social Worker in Evanston, Illinois. Qualified in 2022, 4 years ago. Practices with Edgewood Clinical Services PC, a 292-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2022
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Practice location Address checks out

1007 Church St Ste 312
Evanston, IL 60201
Phone: (847) 440-5760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149030663 (IL)

Record details

NPI number1992424055
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 23, 2022
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025
Mailing address11061 W Carnahan Ave, Beach Park, IL 60099-3401

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Edgewood Clinical Services P.C. — 292 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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