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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. DIANA MELISA IDELSON, LCSW

Active

MS. DIANA MELISA IDELSON, LCSW is a Clinical Social Worker healthcare provider located in SOUTHPORT, North Carolina. NPI 1003062415 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · SOUTHPORT, NC

Registration Details

NPI Number
1003062415
Provider Type
Individual
Gender
Female
NPI Issued
Aug 18, 2008 (17.807846630949 yrs)
Last Updated
Jan 7, 2026
License
C012223 (NC)

Practice Information

Address
4320 SOUTHPORT SUPPLY RD SE STE 200
SOUTHPORT, NC, 284618056
Browse NC providers · Browse ZIP 28461
Phone
9104570800
Fax
9104571072
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in SOUTHPORT, NC

Name Credential NPI
DAWN MARIE PIEPER LCSW 1447239587
KYMRA FOWLER STEWART LCSW 1053348177
MS. IRENE R. BROOK LCSW 1083799191
JEAN GABRIEL LCSW 1760786867
CHARLENE D IRVIN 1992070122
ERIN SWEENEY MSW, LCSW 1679000855
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.