Individual ProviderVirginia Angeles DiazSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1715 C St, Bellingham, WA 98225-4016(206) 310-5485PECOS EnrollmentBased on the most recent information from CMS, provider Virginia Angeles Diaz does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1184084758Provider TypeIndividualFull NameDiaz, Virginia AngelesCredentialLICSWGenderFemaleSole ProprietorNoEnumeration Date2/25/2016Last Updated2/25/2016Contact InformationPractice LocationPractice Address1715 C St, Bellingham, WA 98225-4016Phone(206) 310-5485FaxUnlisted FaxMailing LocationMailing Address179 Linden Blvd, 4b, Brooklyn, NY 11226-3470Phone(206) 310-5485FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense60606452WashingtonCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense088326-1New York