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

Individual provider Social Worker · NPI 1225536519

Idalia Centeno-Diaz, LICSW is a Clinical Social Worker in Springfield, Massachusetts. Qualified in 2003, 23 years ago. Practices with Existential Counseling and Consulting Services, a 2-clinician group and accepts Medicare assignment. Licensed in Connecticut, Massachusetts and Puerto Rico.

Years since qualifying
23
Licensed in
CT, MA, PR
In the registry since
2018
Specialties on file
3
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1695 Main St Fl 4
Springfield, MA 01103-1348
Phone: (413) 787-5572
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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 125302 (MA)
Social Worker Taxonomy 104100000X · Licence 7597 (PR)
Clinical Social Worker Taxonomy 1041C0700X · Licence 12513 (CT)

Record details

NPI number1225536519
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedFebruary 1, 2018
Last updated in NPPESJanuary 6, 2023
Certification dateJanuary 6, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Existential Counseling And Consulting Services — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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