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

DIANE BRACAMONTES, LCSW

Active Sole Proprietor

DIANE BRACAMONTES, LCSW is a Clinical Social Worker healthcare provider located in MARYVILLE, Illinois. NPI 1306089974 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · MARYVILLE, IL

Registration Details

NPI Number
1306089974
Provider Type
Individual
Gender
Female
NPI Issued
Apr 13, 2009 (17.314414403403 yrs)
Last Updated
Mar 8, 2016
License
149013539 (IL)
Sole Proprietor
Yes

Practice Information

Address
2016 VADALABENE DR STE A
MARYVILLE, IL, 620626901
Browse IL providers · Browse ZIP 62062
Phone
6188236444
Fax
6185518456
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in MARYVILLE, IL

Name Credential NPI
MACKENZIE R PHERIGO LCSW, CADC 1801002142
MRS. AMY D MORBY L.C.S.W. 1538300199
AMY LYNN HEMANN LCSW 1558598102
DIANA K JARMAN LCSW 1932419710
MRS. BRANDI GARLICH LCSW 1457796765
COURTNEY L HUPP 1750719142
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.