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

Mr. Hayden Maxwell Gorr-Diaz, AM

Individual provider Clinical Social Worker · NPI 1700663341

Mr. Hayden Maxwell Gorr-Diaz, AM is a Clinical Social Worker in Evanston, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2023

Practice location Address checks out

1740 Ridge Ave Ste LL15A
Evanston, IL 60201-5919
Phone: (312) 656-2505
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X (IL)

Record details

NPI number1700663341
Entity typeIndividual (Type 1)
GenderMale
Credentials AM
Sole proprietorYes
NPI enumeratedSeptember 8, 2023
Last updated in NPPESJanuary 19, 2026
Certification dateJanuary 19, 2026

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